Provider Demographics
NPI:1831698216
Name:SNYDER, JANET CAROL (NURSE)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:CAROL
Last Name:SNYDER
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1722
Mailing Address - Country:US
Mailing Address - Phone:814-643-0309
Mailing Address - Fax:814-643-5502
Practice Address - Street 1:620 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1722
Practice Address - Country:US
Practice Address - Phone:814-643-0309
Practice Address - Fax:814-643-5502
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN296032164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse