Provider Demographics
NPI:1922748144
Name:KNAPP, HEATHER DIANNE (NNP-BC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DIANNE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 HIGHLANDS PLAZA DR APT 560
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1371
Mailing Address - Country:US
Mailing Address - Phone:336-926-3677
Mailing Address - Fax:
Practice Address - Street 1:6089 SHOWELL CIR
Practice Address - Street 2:
Practice Address - City:PFAFFTOWN
Practice Address - State:NC
Practice Address - Zip Code:27040-9829
Practice Address - Country:US
Practice Address - Phone:336-926-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104860242363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal