MEDICARE: TRACI KNOP

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	5008423	NC

General Provider Information

NPI Number	:	1629438486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI KNOP

Provider Business Mailing Address
First Line	:	26 WESTCARE DR
Second Line	:	SUITE 302
City	:	SYLVA
State	:	NC
Zip	:	28779-5290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 WESTCARE DR
Second Line	:	SUITE 302
City	:	SYLVA
State	:	NC
Zip	:	28779-5290
Country	:	US
Telephone Number	:	828-586-9200
Fax Number	:

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

Provider Enumeration Date	:	03/07/2016
Last Update Date	:	03/07/2016

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Directions to “ TRACI KNOP ” Practice Location

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