Provider Demographics
NPI:1568722866
Name:KNIGHT, ANN MARIE THOMAS (RN,BSN,MSN,MBA,NP-C)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:THOMAS
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RN,BSN,MSN,MBA,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:125 EXECUTIVE DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4155
Mailing Address - Country:US
Mailing Address - Phone:434-791-1345
Mailing Address - Fax:434-791-2663
Practice Address - Street 1:125 EXECUTIVE DR
Practice Address - Street 2:SUITE H
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4155
Practice Address - Country:US
Practice Address - Phone:434-791-1345
Practice Address - Fax:434-791-2663
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024170050363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care