Provider Demographics
NPI:1841535242
Name:SNYDER, CAROL A (CRNP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YORKANA
Mailing Address - State:PA
Mailing Address - Zip Code:17406-8200
Mailing Address - Country:US
Mailing Address - Phone:717-755-1535
Mailing Address - Fax:
Practice Address - Street 1:2104 HARRISBURG PIKE
Practice Address - Street 2:SUITE 300
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily