Provider Demographics
NPI: | 1518134592 |
---|---|
Name: | KNOUFF, SARAH ELLEN (NP) |
Entity Type: | Individual |
Prefix: | MRS |
First Name: | SARAH |
Middle Name: | ELLEN |
Last Name: | KNOUFF |
Suffix: | |
Gender: | F |
Credentials: | NP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 700 CHILDRENS DRIVE |
Mailing Address - Street 2: | |
Mailing Address - City: | COLUMBUS |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43205 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-722-6510 |
Mailing Address - Fax: | 614-722-4772 |
Practice Address - Street 1: | 700 CHILDRENS DRIVE |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBUS |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43205 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-722-4650 |
Practice Address - Fax: | 614-722-4772 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2008-05-09 |
Last Update Date: | 2008-05-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | RN285829 | 163W00000X |
OH | NP08477 | 363L00000X |
OH | KNO104320308 | 363LN0005X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 363LN0005X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal, Critical Care |