Provider Demographics
NPI:1497079172
Name:KNIGHT, CA'SHA LAVETTE (MSN, ARNP, CNM)
Entity Type:Individual
Prefix:MRS
First Name:CA'SHA
Middle Name:LAVETTE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MSN, ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 N. LOS ROBLES AVENUE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101
Mailing Address - Country:US
Mailing Address - Phone:626-644-6563
Mailing Address - Fax:
Practice Address - Street 1:669 N. LOS ROBLES AVENUE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:626-644-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA753377-CERTIFIED NUR367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife