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NPI Code Detail

MEDICARE: ANGELA L KNUTSON PA

MEDICARE: ANGELA L KNUTSON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10062MN
2363A00000XPhysician Assistant550WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417915950
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA L KNUTSON PA
Provider Business Mailing Address
First Line : 565 W BURKITT ST
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-4113
Country : US
Telephone Number : 651-587-8180
Fax Number :
Provider Business Practice Location Address
First Line : 497 W LOTT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1658
Country : US
Telephone Number : 307-684-5521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 10/17/2025

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Directions to “ ANGELA L KNUTSON PA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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