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NPI Code Detail

MEDICARE: ALISSA LYNNE KNAPP RN

MEDICARE: ALISSA LYNNE KNAPP RN
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
1163W00000XRegistered Nurse60001NE

General Provider Information

NPI Number : 1891300448
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA LYNNE KNAPP RN
Provider Business Mailing Address
First Line : 1305 HOWARD AVE
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1402
Country : US
Telephone Number : 308-754-4433
Fax Number : 308-754-5374
Provider Business Practice Location Address
First Line : 1305 HOWARD AVE
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1402
Country : US
Telephone Number : 308-754-4433
Fax Number : 308-754-5374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 09/10/2020

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