Provider Demographics
NPI:1487450219
Name:KNOWLES, URSULA
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:URSULA
Other - Middle Name:
Other - Last Name:KNOWLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PROVIDER
Mailing Address - Street 1:22 WOODWARD RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4218
Mailing Address - Country:US
Mailing Address - Phone:848-633-1258
Mailing Address - Fax:732-409-2794
Practice Address - Street 1:22 WOODWARD RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-4218
Practice Address - Country:US
Practice Address - Phone:848-633-1258
Practice Address - Fax:732-409-2794
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty