Healthcare Provider Details

I. General information

NPI: 1447481825
Provider Name (Legal Business Name): NANCY LYNN KNAAK APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY LYNN BURMEISTER

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HIGHWAY 71
INTERNATIONAL FALLS MN
56649-9357
US

IV. Provider business mailing address

1400 HIGHWAY 71
INTERNATIONAL FALLS MN
56649-2154
US

V. Phone/Fax

Practice location:
  • Phone: 218-283-5503
  • Fax:
Mailing address:
  • Phone: 218-283-5503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR 162737-2
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: