Provider Demographics
NPI:1013456128
Name:KNAPP, LYDIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9790 MERCER RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:OH
Mailing Address - Zip Code:43767-9748
Mailing Address - Country:US
Mailing Address - Phone:740-796-0062
Mailing Address - Fax:
Practice Address - Street 1:9790 MERCER RD
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:OH
Practice Address - Zip Code:43767-9748
Practice Address - Country:US
Practice Address - Phone:740-796-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily