Provider Demographics
NPI:1780407494
Name:SNYDER, ROZALYN OSBORN (MSN-FNP-C)
Entity type:Individual
Prefix:MS
First Name:ROZALYN
Middle Name:OSBORN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 VISTA LARGA AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2647
Mailing Address - Country:US
Mailing Address - Phone:773-495-2260
Mailing Address - Fax:
Practice Address - Street 1:7501 HOLLY AVE NE # STUDIO14
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2629
Practice Address - Country:US
Practice Address - Phone:505-377-4581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM64310363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner