MEDICARE: MRS. NANCY LYNN KNAAK APRN-CNP

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
1	363LF0000X	Family Nurse Practitioner	R 162737-2	MN

General Provider Information

NPI Number	:	1447481825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY LYNN KNAAK APRN-CNP

Provider Business Mailing Address
First Line	:	1400 HIGHWAY 71
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649-2154
Country	:	US
Telephone Number	:	218-283-5503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 HIGHWAY 71
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649-9357
Country	:	US
Telephone Number	:	218-283-5503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2009
Last Update Date	:	12/12/2025

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