Doctor Name: | KRISTINA KNIGHT |
NPI Number: | 1063607778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 209001792 |
Business Practice Address: | 719 N 3rd Ave Wausau, WI - 544012965 |
Business Phone Number: | 8002465743 |
Business Fax Number: | 7156755475 |
Mailing Address: | 719 N 3rd Ave, WAUSAU |
State: | WI |
Postal Code: | 544012965 |
Phone Number: | 8002465743 |
Fax Number: | 7156755475 |
NPI Enumeration Date: | 09/06/2007 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 209001792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |