Provider Demographics
NPI:1053407759
Name:SNYDER, DAVID SHANE SR (RNFA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SHANE
Last Name:SNYDER
Suffix:SR
Gender:M
Credentials:RNFA
Other - Prefix:
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Mailing Address - Street 1:3860 OLD PATH XING
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6043
Mailing Address - Country:US
Mailing Address - Phone:678-481-8126
Mailing Address - Fax:770-889-0190
Practice Address - Street 1:3860 OLD PATH XING
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6043
Practice Address - Country:US
Practice Address - Phone:678-481-8126
Practice Address - Fax:770-886-7881
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2018-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN155114163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant