Provider Demographics
NPI:1760933477
Name:KNAPP, AMANDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 STATE ROUTE 213
Mailing Address - Street 2:
Mailing Address - City:HIGH FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12440
Mailing Address - Country:US
Mailing Address - Phone:717-309-9312
Mailing Address - Fax:845-339-7319
Practice Address - Street 1:1532 STATE ROUTE 213
Practice Address - Street 2:
Practice Address - City:HIGH FALLS
Practice Address - State:NY
Practice Address - Zip Code:12440-5724
Practice Address - Country:US
Practice Address - Phone:717-309-9312
Practice Address - Fax:845-339-7319
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 666218163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management