Provider Demographics
NPI:1831326867
Name:SNYDER, MARTINA E (RN)
Entity type:Individual
Prefix:
First Name:MARTINA
Middle Name:E
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-8130
Mailing Address - Country:US
Mailing Address - Phone:617-847-1926
Mailing Address - Fax:617-774-1490
Practice Address - Street 1:17 K ST
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-1703
Practice Address - Country:US
Practice Address - Phone:508-285-9400
Practice Address - Fax:508-285-4520
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2293902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse