Individual
MRS. SUSAN K KNOWLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMW
Contact information
Practice address
2265 MARKET ST, SUITE B, WARREN, PA 16365-4668
(814) 723-8101
(814) 723-2024
Mailing address
2265 MARKET ST, SUITE B, WARREN, PA 16365-4668
(814) 723-8101
(814) 723-2024
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008605L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025508901
UNIVERA HEALTHCARE
PA
05
—
0018330460005
—
PA
01
—
117964
UNISON/MEDPLUS
PA
01
—
219412
UPMC
PA
01
—
624178
BLUE SHIELD
PA
Enumeration date
11/07/2005
Last updated
10/02/2020
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