Individual
ASHLEY ROSE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
79 VANDENBURGH AVE, TROY, NY 12180-6024
(518) 271-0063
(518) 271-0298
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689215
NY
363LF0000X
Family Nurse Practitioner
Primary
340254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02142634
—
NY
Enumeration date
07/06/2015
Last updated
09/13/2022
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