Provider Demographics
NPI:1639839525
Name:KNERR, CIARA (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:
Last Name:KNERR
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14262 MATISSE AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1820
Mailing Address - Country:US
Mailing Address - Phone:702-354-5431
Mailing Address - Fax:
Practice Address - Street 1:16105 SAND CANYON AVE STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3779
Practice Address - Country:US
Practice Address - Phone:949-829-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236231176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife