Individual
LAURA SELLERS KNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
270 COMMERCE DRIVE, SUITE 250, FORT WASHINGTON, PA 19034
(215) 653-0600
(215) 646-4422
Mailing address
4829 STREET ROAD, SUITE 100, TREVOSE, PA 19053
(215) 364-5800
(215) 364-5899
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP006393D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004150
CRNP PRESCRIPTIVE AUTH
PA
01
—
RN279111L
RNLICENSE
PA
01
—
TP006393 D
CRNP LICENSE
PA
Enumeration date
03/16/2007
Last updated
11/24/2008
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