Individual
TAMARA SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 WESTFIELD DR, ARCHBOLD, OH 43502-1056
(419) 445-2015
(419) 446-3072
Mailing address
3702 NEW VISION DR, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.18031-NP
IN
363LF0000X
Family Nurse Practitioner
COA.18031-NP
OH
Other
Enumeration date
08/24/2015
Last updated
11/17/2017
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