Individual
ALICE B KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 HARDING AVE STE 1, EAU CLAIRE, WI 54701-4861
(715) 832-2200
Mailing address
1720 HARDING AVE STE 1, EAU CLAIRE, WI 54701-4861
(715) 832-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139656
WI
363L00000X
Nurse Practitioner
Primary
2375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41197100
—
WI
01
—
P00440992
RR MEDICARE
WI
Enumeration date
07/24/2006
Last updated
05/01/2023
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