National Provider Identifier

Susan Roberta Knight

Susan Roberta Knight is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Andover, NY and a listed phone number of (607) 478-8475.

NPI 1154818581Andover, NYLicensed Practical Nurse

Profile Overview

NPI
1154818581
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 20, 2018
Last Updated
April 20, 2018

Practice Location

  • 1990 Jones RD
  • Andover, NY 14806-9723

Phone: (607) 478-8475

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154818581
Entity Type
Individual
Last Name
Knight
First Name
Susan
Middle Name
Roberta
Mailing Street Address
1990 Jones RD
Mailing City
Andover
Mailing State
NY
Mailing ZIP Code
14806-9723
Mailing Country
US
Mailing Phone
(607) 478-8475
Practice Street Address
1990 Jones RD
Practice City
Andover
Practice State
NY
Practice ZIP Code
14806-9723
Practice Country
US
Practice Phone
(607) 478-8475
Enumeration Date
April 20, 2018
Last Updated
April 20, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)