Provider Demographics
NPI:1861558710
Name:SNYDER, TAMARA R (CNP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:R
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:R
Other - Last Name:CROMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1124 S SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-5413
Mailing Address - Country:US
Mailing Address - Phone:918-592-0286
Mailing Address - Fax:918-592-0286
Practice Address - Street 1:1124 S SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-5413
Practice Address - Country:US
Practice Address - Phone:918-592-0296
Practice Address - Fax:918-592-0286
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN166419163W00000X
OHNP 09148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse