Provider Demographics
NPI:1558023424
Name:SNAVLEY, ALEXANDER (CNP)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:SNAVLEY
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 PARKWOOD PL
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-1216
Mailing Address - Country:US
Mailing Address - Phone:614-767-8624
Mailing Address - Fax:833-806-9229
Practice Address - Street 1:5900 PARKWOOD PL
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1216
Practice Address - Country:US
Practice Address - Phone:614-767-8624
Practice Address - Fax:833-806-9229
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-08
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029887363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.0029887OtherOHIO BOARD OF NURSING