Healthcare Provider Details

I. General information

NPI: 1376526129
Provider Name (Legal Business Name): KAREN ELIZABETH KNAPP RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WT BOX 61401
CANYON TX
79016-0001
US

IV. Provider business mailing address

1707 8TH AVE
CANYON TX
79015-4511
US

V. Phone/Fax

Practice location:
  • Phone: 806-651-3287
  • Fax: 806-651-3289
Mailing address:
  • Phone: 806-683-6096
  • Fax: 906-651-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number605738
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: