Provider Demographics
NPI:1629001458
Name:KNAPPS, MARIE GRIMMEISEN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:GRIMMEISEN
Last Name:KNAPPS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:GRIMMEISEN
Other - Last Name:KNAPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1249 HILL ST
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-1527
Mailing Address - Country:US
Mailing Address - Phone:413-731-6074
Mailing Address - Fax:
Practice Address - Street 1:25 BOND ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3401
Practice Address - Country:US
Practice Address - Phone:413-731-6074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily