Provider Demographics
NPI:1932502028
Name:KNOTT, KARMEN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KARMEN
Middle Name:
Last Name:KNOTT
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 1:9232 FRUITDALE RD
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-8992
Mailing Address - Country:US
Mailing Address - Phone:360-391-7393
Mailing Address - Fax:
Practice Address - Street 1:9232 FRUITDALE RD
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-8992
Practice Address - Country:US
Practice Address - Phone:360-391-7393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00035508164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse