Doctor Name: | DEBRA KNOP |
NPI Number: | 1235417197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 02898 |
Business Practice Address: | 625 N Plaza Dr Apache Junction, AZ - 851205501 |
Business Phone Number: | 4809830065 |
Business Fax Number: | 4806714541 |
Mailing Address: | Po Box 3160, APACHE JUNCTION |
State: | AZ |
Postal Code: | 851174115 |
Phone Number: | 4809830065 |
Fax Number: | 4806714541 |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 02898 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |