Doctor Name: | ELLEN KNIPFER |
NPI Number: | 1144629114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, FNP-BC |
License Number: | 5998-33 |
Business Practice Address: | 323 S 18th Ave Sturgeon Bay, WI - 542351401 |
Business Phone Number: | 9207460510 |
Business Fax Number: | |
Mailing Address: | 323 S 18th Ave, STURGEON BAY |
State: | WI |
Postal Code: | 542351401 |
Phone Number: | 9207460510 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2014 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5998-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |