Healthcare Provider Details

I. General information

NPI: 1003094863
Provider Name (Legal Business Name): BARBARA J KNOPE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 GREYSTONE LN APT 10
ROCHESTER NY
14618-4917
US

IV. Provider business mailing address

128 GREYSTONE LN APT 10
ROCHESTER NY
14618-4917
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-4147
  • Fax:
Mailing address:
  • Phone: 585-442-4147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number241809-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: