Provider Demographics
NPI:1811608425
Name:KNAPP, CAITLYN (FNP-C, BSN, RN)
Entity type:Individual
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First Name:CAITLYN
Middle Name:
Last Name:KNAPP
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Gender:
Credentials:FNP-C, BSN, RN
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:213 AVONDALE CT
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3502
Mailing Address - Country:US
Mailing Address - Phone:607-222-0566
Mailing Address - Fax:
Practice Address - Street 1:333 HOOPER RD
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-3641
Practice Address - Country:US
Practice Address - Phone:607-729-2777
Practice Address - Fax:607-729-2773
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2025-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY823447163WX0200X
NYF354368-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology