Provider Demographics
NPI:1053384594
Name:SNYDER, DANIEL (MSN, FNP-C)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2507
Mailing Address - Country:US
Mailing Address - Phone:816-561-1629
Mailing Address - Fax:
Practice Address - Street 1:3845 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2507
Practice Address - Country:US
Practice Address - Phone:816-561-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO130160163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO428354807Medicaid
MOQ22594Medicare UPIN
KSKA1087003Medicare PIN
MOX93000005Medicare PIN