Provider Demographics
NPI:1598392904
Name:KNIGHT, ANETA NICOLE (FNP)
Entity Type:Individual
Prefix:
First Name:ANETA
Middle Name:NICOLE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21720 KINGSLAND BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2551
Mailing Address - Country:US
Mailing Address - Phone:281-579-5660
Mailing Address - Fax:281-579-5661
Practice Address - Street 1:21720 KINGSLAND BLVD STE 301
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2551
Practice Address - Country:US
Practice Address - Phone:281-579-5660
Practice Address - Fax:281-579-5661
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily