Provider Demographics
NPI:1437152006
Name:KNAPKA, JULIE S (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:S
Last Name:KNAPKA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3444
Mailing Address - Country:US
Mailing Address - Phone:814-337-8532
Mailing Address - Fax:814-333-1025
Practice Address - Street 1:1012 WATER ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3444
Practice Address - Country:US
Practice Address - Phone:814-337-8532
Practice Address - Fax:814-333-1025
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006914B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00156459OtherPALMETTO GBA-RAILROAD MEDICARE
PA056014KAMMedicare PIN
P53626Medicare UPIN