Organization
DANIEL KNIGHT
Active
Other names
Alchemy Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B KNIGHT FNP (OWNER / CEO / PROVIDER)
(855) 277-5901
Entity
Organization
Contact information
Practice address
112 W. PARK AVE, ASH FORK, AZ 86320-8632
(855) 277-5901
(949) 577-4681
Mailing address
419 S 3RD ST, WILLIAMS, AZ 86046-2448
(855) 277-5901
(949) 577-4681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12194711
CAQH
—
05
—
943317
—
AZ
Enumeration date
05/26/2020
Last updated
10/27/2020
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