Provider Demographics
NPI:1134199029
Name:KNIGHT, CYNTHIA S (APRN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3300
Mailing Address - Country:US
Mailing Address - Phone:302-629-2366
Mailing Address - Fax:302-629-6570
Practice Address - Street 1:1 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3300
Practice Address - Country:US
Practice Address - Phone:302-629-2366
Practice Address - Fax:302-629-6570
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE510341134OtherCOVENTRY HEALTH CARE
DE1000038113Medicaid
Q52785Medicare UPIN
018037M49Medicare ID - Type Unspecified