# COLETTE T KNUDSEN

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

## Provider details

- **NPI number:** 1639406317
- **Gender:** F
- **Credential:** RN, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 0001098727 | VA | — |
| 363L00000X | Nurse Practitioner | 0024173673 | VA | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639406317 | — | WI |