Evan Timothy Snyder
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Christiana, TN
NPI 1740959576 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1740959576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1516 N Lovvorn Rd
Christiana, TN 37037-5316 - Phone
- (239) 961-1293
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1516 N Lovvorn Rd
Christiana, TN 37037-5316
Mailing address
1516 N Lovvorn Rd
Christiana, TN 37037-5316
Phone (239) 961-1293
Other providers in Christiana, TN
- Virginia M Miller
- Musa Health Miracles LLC
- Pamela Fay Rudd Owens
- Kimberly Jean Palmer
- Princess Roshell-Gahan
- Sunlight Path Care Services
- Linda Suzanne White
All providers in Christiana, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.