Provider Demographics
NPI:1366297228
Name:KNAPP, KRISTINE MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:MARIE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10030 STATE HIGHWAY 357
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13775-2026
Mailing Address - Country:US
Mailing Address - Phone:607-434-5456
Mailing Address - Fax:
Practice Address - Street 1:7 ASSOCIATE DR
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2266
Practice Address - Country:US
Practice Address - Phone:607-432-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353771363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner