Individual
ANN KNIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7050 W PORTNEUF RD, POCATELLO, ID 83204-7331
(208) 232-4998
(208) 232-4998
Mailing address
7050 W PORTNEUF RD, POCATELLO, ID 83204-7331
(208) 232-4998
(208) 232-4998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-17658
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-17658
IDAHO BOARD OF NURSING
ID
Enumeration date
06/17/2012
Last updated
06/17/2012
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