Provider Demographics
NPI:1316217425
Name:KNAPP, JULIE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:KNAPP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 ALLEN STREET
Mailing Address - Street 2:BROCKPORT CENTRAL SCHOOL DISTRICT
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420
Mailing Address - Country:US
Mailing Address - Phone:585-637-1852
Mailing Address - Fax:585-637-1955
Practice Address - Street 1:40 ALLEN STREET
Practice Address - Street 2:BROCKPORT CENTRAL SCHOOL DISTRICT
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420
Practice Address - Country:US
Practice Address - Phone:585-637-1852
Practice Address - Fax:585-637-1955
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY388312163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool