| Doctor Name: | CHARLA WURSTER KNAPP |
| NPI Number: | 1083851026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN110312 |
| Business Practice Address: | 1643 Carter St Suite 1 Vidalia, LA - 713733156 |
| Business Phone Number: | 3183368707 |
| Business Fax Number: | 3183368776 |
| Mailing Address: | 1643 Carter St, Suite 1 VIDALIA |
| State: | LA |
| Postal Code: | 713733156 |
| Phone Number: | 3183368707 |
| Fax Number: | 3183368776 |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN110312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |