National Provider Identifier

Shelby Knapp, FNP

Shelby Knapp, FNP is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Bolivar, NY and a listed phone number of (585) 928-1600.

NPI 1750154886Bolivar, NYFamily Medicine Physician

Profile Overview

NPI
1750154886
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
October 31, 2023
Last Updated
June 17, 2024

Practice Location

  • 120 1St St
  • Bolivar, NY 14715-1132

Phone: (585) 928-1600

Mailing Address

  • PO Box 592
  • Eldred, PA 16731-0592

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1750154886
Entity Type
Individual
Last Name
Knapp
First Name
Shelby
Credential
FNP
Mailing Street Address
PO Box 592
Mailing City
Eldred
Mailing State
PA
Mailing ZIP Code
16731-0592
Mailing Country
US
Practice Street Address
120 1St St
Practice City
Bolivar
Practice State
NY
Practice ZIP Code
14715-1132
Practice Country
US
Practice Phone
(585) 928-1600
Enumeration Date
October 31, 2023
Last Updated
June 17, 2024
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
June 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)