Individual
ERICA SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Mailing address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003721A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003721A
MEDICAL LICENSE
IN
Enumeration date
02/21/2023
Last updated
04/06/2026
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