Provider Demographics
NPI:1497348742
Name:KNIGHT, CIERRA MARIE
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:MARIE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:RAINELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25962-1003
Mailing Address - Country:US
Mailing Address - Phone:304-520-1139
Mailing Address - Fax:
Practice Address - Street 1:227 CHERRY ST
Practice Address - Street 2:
Practice Address - City:RAINELLE
Practice Address - State:WV
Practice Address - Zip Code:25962-1003
Practice Address - Country:US
Practice Address - Phone:304-520-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant