Provider Demographics
NPI:1508863481
Name:KNIGHT, PAULA A (CFNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:A
Other - Last Name:SWAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:651 COLLIERS WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5058
Mailing Address - Country:US
Mailing Address - Phone:304-797-6404
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:651 COLLIERS WAY STE 505
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5054
Practice Address - Country:US
Practice Address - Phone:724-947-5350
Practice Address - Fax:740-346-2083
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV42465363L00000X
OHAPRN.CNP.12178363LF0000X
OHCDA.12178-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV7105202000Medicaid
WV00030722OtherRR MEDICARE
OH2413169Medicaid
P90874Medicare UPIN
OH2413169Medicaid
WV00030722OtherRR MEDICARE
WVNP13132Medicare PIN
WVNP13133Medicare PIN
WVSWNP13137Medicare PIN
OH2413169Medicaid
PA1000865870001Medicaid