Healthcare Provider Details

I. General information

NPI: 1326104357
Provider Name (Legal Business Name): ARNITA GERTRUDE KNOTT MSN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 SAINT ANTOINE ST SUITE 210
DETROIT MI
48201-1461
US

IV. Provider business mailing address

1904 THORNHILL PL
DETROIT MI
48207-3824
US

V. Phone/Fax

Practice location:
  • Phone: 313-831-3066
  • Fax: 313-831-8438
Mailing address:
  • Phone: 313-393-1427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4704108032
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704108032
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: