Individual
DEB KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5914 DAKOTA DR, CATLETTSBURG, KY 41129-7801
(701) 403-4000
Mailing address
5914 DAKOTA DR, CATLETTSBURG, KY 41129-7801
(701) 403-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1148188
KY
363L00000X
Nurse Practitioner
Primary
3017550
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1148188
BSN RN
KY
01
—
2022002856
AMERICAN NURSES CREDENTIALING CENTER ( ANCC)
—
01
—
3017550
APRN
KY
Enumeration date
02/25/2019
Last updated
04/13/2022
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