Provider Demographics
NPI:1376985390
Name:KNIGHTS, SHAUNDEL (ND)
Entity Type:Individual
Prefix:DR
First Name:SHAUNDEL
Middle Name:
Last Name:KNIGHTS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-2135
Mailing Address - Country:US
Mailing Address - Phone:202-288-7666
Mailing Address - Fax:800-297-9152
Practice Address - Street 1:4009 NEWTON ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-2135
Practice Address - Country:US
Practice Address - Phone:202-288-7666
Practice Address - Fax:800-297-9152
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP-0040175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath