Provider Demographics
NPI:1831496868
Name:KNAPPENBERGER, PAMELA FAYE (LPN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:FAYE
Last Name:KNAPPENBERGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 OLD GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080
Mailing Address - Country:US
Mailing Address - Phone:610-767-8977
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY RD,
Practice Address - Street 2:SUITE 240
Practice Address - City:PLYMOUTH MEETING,
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:610-767-8977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN098355L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse