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NPI Code Detail

MEDICARE: MRS. MICHELE JOHNSON KNORR NP

MEDICARE:  MRS. MICHELE JOHNSON KNORR  NP
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
1363L00000XNurse Practitioner5009503NC

General Provider Information

NPI Number : 1740717222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELE JOHNSON KNORR NP
Provider Business Mailing Address
First Line : 117 STERLING CT
Second Line :
City : SALISBURY
State : NC
Zip : 28144-8301
Country : US
Telephone Number : 704-310-6987
Fax Number :
Provider Business Practice Location Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 336-335-9862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 04/23/2026

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