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Individual

ELIZABETH A. KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
246258
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144844101
TX
05
144844102
TX
05
144844103
TX
01
8N4799
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2005
Last updated
12/19/2008
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