MEDICARE: CLAUDETTE KNIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R093479	MD

General Provider Information

NPI Number	:	1528772514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDETTE KNIGHT

Provider Business Mailing Address
First Line	:	12304 PALERMO DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1848
Country	:	US
Telephone Number	:	301-332-1821
Fax Number	:

Provider Business Practice Location Address
First Line	:	12304 PALERMO DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1848
Country	:	US
Telephone Number	:	301-332-1821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	01/13/2023

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Directions to “ CLAUDETTE KNIGHT ” Practice Location

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