Provider Demographics
NPI:1821840398
Name:MKNIGHT, BARBARA (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MKNIGHT
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2684 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-7816
Mailing Address - Country:US
Mailing Address - Phone:941-807-4895
Mailing Address - Fax:
Practice Address - Street 1:2684 24TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-7816
Practice Address - Country:US
Practice Address - Phone:941-807-4895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide