Doctor Name: | MRS. JENNIFER M KNODLE |
NPI Number: | 1013340538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN.0990657-NP |
Business Practice Address: | 10900 W 44th Ave Unit 200 Wheat Ridge, CO - 800332742 |
Business Phone Number: | 3033799371 |
Business Fax Number: | 3032844082 |
Mailing Address: | 10900 W 44th Ave Unit 200, WHEAT RIDGE |
State: | CO |
Postal Code: | 800332742 |
Phone Number: | 3033799371 |
Fax Number: | 3032844082 |
NPI Enumeration Date: | 08/20/2013 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN.0990657-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |