Provider Demographics
NPI:1730889460
Name:KNIVETON, MONICA MARY HELEN (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARY HELEN
Last Name:KNIVETON
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:MARY HELEN
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5898 KAMIAKIN TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRCHILD AFB
Mailing Address - State:WA
Mailing Address - Zip Code:99011-2216
Mailing Address - Country:US
Mailing Address - Phone:806-340-4889
Mailing Address - Fax:
Practice Address - Street 1:2659 N ASH ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-3606
Practice Address - Country:US
Practice Address - Phone:509-327-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61391173363L00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner