Provider Demographics
NPI:1306357124
Name:KNAPP, MARTA ARAUJO (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:ARAUJO
Last Name:KNAPP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:OTAVIO DE
Other - Last Name:ARAUJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:419 DONINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-2124
Mailing Address - Country:US
Mailing Address - Phone:037-545-3834
Mailing Address - Fax:
Practice Address - Street 1:5981 FAR HILLS AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2211
Practice Address - Country:US
Practice Address - Phone:937-428-6702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily