Provider Demographics
NPI:1083160014
Name:KNOPF, ELISA
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:KNOPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7740 THISTLE LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-4452
Mailing Address - Country:US
Mailing Address - Phone:530-710-4568
Mailing Address - Fax:
Practice Address - Street 1:7740 THISTLE LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-4452
Practice Address - Country:US
Practice Address - Phone:530-710-4568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula