MEDICARE: COURTNEY 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	163WH0200X	Home Health Registered Nurse	2582512	DC

General Provider Information

NPI Number	:	1558621573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY KNIGHT

Provider Business Mailing Address
First Line	:	1335 SARATOGA AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1937
Country	:	US
Telephone Number	:	202-704-5142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1335 SARATOGA AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1937
Country	:	US
Telephone Number	:	202-704-5142
Fax Number	:

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

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	05/23/2012

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Directions to “ COURTNEY KNIGHT ” Practice Location

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