Provider Demographics
NPI:1649955642
Name:SNYDER, CALLI DELL (DNP, ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:CALLI
Middle Name:DELL
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 SURREY CT
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-1562
Mailing Address - Country:US
Mailing Address - Phone:319-480-7508
Mailing Address - Fax:
Practice Address - Street 1:777 76TH AVENUE DR SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-7006
Practice Address - Country:US
Practice Address - Phone:319-558-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA174755363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health