Provider Demographics
NPI:1780325696
Name:KNOWER, EMILY ROBIN (RN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ROBIN
Last Name:KNOWER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 MIDLAND PARK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4546
Mailing Address - Country:US
Mailing Address - Phone:843-574-2183
Mailing Address - Fax:843-569-5476
Practice Address - Street 1:2415 MIDLAND PARK RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4546
Practice Address - Country:US
Practice Address - Phone:843-574-2183
Practice Address - Fax:843-569-5476
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC249244163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse