# COLLEEN D KNOOP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497862841
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4735P | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | AP08497 | LA | — |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 02/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000388291 | ANTHEM | KY |
| 05 | — | 02105864 | — | MS |
| 05 | — | 2405250 | — | LA |