Healthcare Provider Details

I. General information

NPI: 1548265432
Provider Name (Legal Business Name): NATALIE C KNITOWSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 THOMAS JONES WAY STE 300
EXTON PA
19341-2552
US

IV. Provider business mailing address

479 THOMAS JONES WAY STE 300
EXTON PA
19341-2552
US

V. Phone/Fax

Practice location:
  • Phone: 610-280-9999
  • Fax: 215-615-1320
Mailing address:
  • Phone: 610-280-9999
  • Fax: 215-615-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier970026444
Identifier TypeOTHER
Identifier State
Identifier IssuerRAILROAD MEDICARE
# 2
IdentifierP34362
Identifier TypeOTHER
Identifier StateDE
Identifier IssuerCOVENTRY
# 3
IdentifierP34362
Identifier TypeOTHER
Identifier StateDE
Identifier IssuerBCBS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: