| Mr Shawn Snyder, PMHNP | |
| 
					36 N Detroit St, Xenia, OH 45385-2909  | |
| (937) 610-4673 | |
| Not Available | 
| Full Name | Mr Shawn Snyder | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 36 N Detroit St, Xenia, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467035667 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.480964 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037467 (Ohio) | Primary | 
| Entity Name | Woodstream Wellness | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Shawn Snyder, PMHNP 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: () -  | Mr Shawn Snyder, PMHNP 36 N Detroit St, Xenia, OH 45385-2909 Ph: (937) 610-4673  | 
Anne Bohardt,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725  | |
Kimberly Carol Vandalen,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 193 S Progress Dr, Xenia, OH 45385 Phone: 937-372-7583  | |
Emily Joanne Cooper, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-562-2280 Fax: 937-562-2282  | |
Jessica Darnell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 193 S Progress Dr, Xenia, OH 45385 Phone: 937-372-7583  | |
Elizabeth Ann Delaney, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-505-3400  | |
Christopher Perry Loch, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 551 S Detroit St, Xenia, OH 45385 Phone: 937-554-5579  | |
Mrs. Jennifer Reid Reichert, APRN-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 W Main St, Xenia, OH 45385 Phone: 937-848-1563  |