Individual
KEETA JO KNAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NNP-BC
Contact information
Practice address
300 N 7TH STREET, BISMARCK, ND 58501
(701) 323-6000
(701) 323-6569
Mailing address
300 N 7TH STREET, BISMARCK, ND 58501
(701) 323-6000
(701) 323-6569
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R28593
ND
Other
Enumeration date
08/14/2012
Last updated
11/30/2012
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