Provider Demographics
NPI:1952605479
Name:SNYDER, DEANNA S (ARNP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:S
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:S
Other - Last Name:STURKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 NAT WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1982
Mailing Address - Country:US
Mailing Address - Phone:509-754-3330
Mailing Address - Fax:509-754-6356
Practice Address - Street 1:200 NAT WASHINGTON WAY
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1982
Practice Address - Country:US
Practice Address - Phone:509-754-3330
Practice Address - Fax:509-754-6356
Is Sole Proprietor?:No
Enumeration Date:2010-12-23
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3015202363L00000X
WAAP60434980363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01338500OtherRR MEDICARE
WA1952605479Medicaid
WA1952605479Medicaid