Healthcare Provider Details

I. General information

NPI: 1477385482
Provider Name (Legal Business Name): CINDY KNAPP CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY RIEHN

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD
PALO ALTO CA
94304-1601
US

IV. Provider business mailing address

3217 RIDGEVIEW DR
EL DORADO HILLS CA
95762-4461
US

V. Phone/Fax

Practice location:
  • Phone: 650-497-8800
  • Fax:
Mailing address:
  • Phone: 703-851-6338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SN0000X
TaxonomyNeonatal Clinical Nurse Specialist
License Number5127
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: