Provider Demographics
NPI:1831884048
Name:KNAPKEWICZ, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:KNAPKEWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 BISHOPS BLVD S UNIT D
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7294
Mailing Address - Country:US
Mailing Address - Phone:701-219-8251
Mailing Address - Fax:
Practice Address - Street 1:5528 BISHOPS BLVD S UNIT D
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7294
Practice Address - Country:US
Practice Address - Phone:701-219-8251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care