Individual
MS. ELIZABETH A KNICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 UNDERWOOD ST STE 7A106, ZANESVILLE, OH 43701-3771
(220) 204-4085
(740) 870-2631
Mailing address
1303 W MAPLE ST STE 102, NORTH CANTON, OH 44720-2858
(330) 442-2664
(330) 662-3142
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474456
—
OH
Enumeration date
01/16/2022
Last updated
02/06/2025
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