Individual
LARRY L KNIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
389 NEW CASTLE RD, BUTLER, PA 16001-1743
(724) 282-2216
(724) 282-1861
Mailing address
9573 HAGER RD, MEADVILLE, PA 16335-6477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP021242
LICENSE
PA
Enumeration date
01/16/2020
Last updated
06/10/2024
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