Provider Demographics
NPI:1467724955
Name:KNOX, CANDI LEA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CANDI
Middle Name:LEA
Last Name:KNOX
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:CANDI
Other - Middle Name:LEA
Other - Last Name:LOWMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:81 HILLCREST DR STE 2200
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-2605
Mailing Address - Country:US
Mailing Address - Phone:814-938-3343
Mailing Address - Fax:814-938-3369
Practice Address - Street 1:81 HILLCREST DR STE 2200
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2605
Practice Address - Country:US
Practice Address - Phone:814-938-3343
Practice Address - Fax:814-938-3369
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00361800363LF0000X
PASP012816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily