Individual
MICHELLE MARIE KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
611 MISSOURI RD, VENICE, FL 34293-6447
(216) 536-6212
Mailing address
1307 GUARDIAN DR, VENICE, FL 34292-1626
(216) 536-6212
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04131288
—
NY
Enumeration date
07/08/2013
Last updated
07/29/2024
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