Knapp, Michelle Marie

Knapp, Michelle Marie is an sole proprietor health care provider with primary practice located at 611 Missouri Rd , Venice FL 34293-6447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Knapp, Michelle Marie can be contacted via phone (216) 536-6212.

Contact Information

Primary practice address
611 Missouri Rd Venice FL 34293-6447
Phone: (216) 536-6212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401622 New York

Profile Details

NPI number 1104267061
LBN Legal business name Knapp, Michelle Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2013
Last updated Jul 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104267061 NPPES
New York MEDICAID 04131288

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