1932347358 NPI number — MRS. MARY ANN KNECHTEL RN, CRNP-BC, ANP,GNP

Table of content: MRS. MARY ANN KNECHTEL RN, CRNP-BC, ANP,GNP (NPI 1932347358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932347358 NPI number — MRS. MARY ANN KNECHTEL RN, CRNP-BC, ANP,GNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNECHTEL
Provider First Name:
MARY ANN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CRNP-BC, ANP,GNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932347358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
332 DUTCHTOWN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16002-0620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-282-0014
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2275 SWALLOW HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15220-1656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-279-4522
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN-284406-LPA , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163W00000X , with the licence number: RN-525897-LNY , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: ANP-SP008134 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LG0600X , with the licence number: GNP-SP007994 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RN-525897-LNY . This is a "REGISTERD NURSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: GNP-SP007994 . This is a "GERIATIRC NURSE PRACTITIONER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: RN-284406-L PA . This is a "REGISTERED NURSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: ANP-SP008134 . This is a "ADULT NURSE PRACTITIONER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".