Individual
CHRISTINA KNOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1850 HYLAND DR, PORTLAND, MI 48875-8508
(517) 647-6722
Mailing address
221 W LAKE LANSING RD STE 300, EAST LANSING, MI 48823-8661
(517) 253-8944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704270476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704270476
LARA - STATE OF MICHIGAN
MI
Enumeration date
06/18/2018
Last updated
10/23/2023
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