| Doctor Name: | TRACEY J KNIESS |
| NPI Number: | 1295734846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP004973W |
| Business Practice Address: | 600 Adams Shoppes Mars, PA - 160463966 |
| Business Phone Number: | 7247795062 |
| Business Fax Number: | |
| Mailing Address: | 128 William Dr, CORAOPOLIS |
| State: | PA |
| Postal Code: | 151083428 |
| Phone Number: | 4128098934 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2005 |
| NPI Last Update Date: | 11/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TP004973W |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |