National Provider Identifier

Eric Knaake, MSN, CRNP, FNP-C

Eric Knaake, MSN, CRNP, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-2170.

NPI 1952840241Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1952840241
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
February 20, 2017
Last Updated
April 02, 2019

Practice Location

  • 8 Brentwood Dr Ste B
  • Ithaca, NY 14850-1871

Phone: (607) 277-2170

Mailing Address

  • 905 Hanshaw Road
  • Suite A
  • Ithaca, NY 14850

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1952840241
Entity Type
Individual
Last Name
Knaake
First Name
Eric
Name Prefix
Mr.
Credential
MSN, CRNP, FNP-C
Mailing Street Address
905 Hanshaw Road
Mailing Address Line 2
Suite A
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 273-6757
Mailing Fax
(607) 273-2854
Practice Street Address
8 Brentwood Dr Ste B
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1871
Practice Country
US
Practice Phone
(607) 277-2170
Enumeration Date
February 20, 2017
Last Updated
April 02, 2019
Deactivation Date
December 03, 2018
Reactivation Date
January 30, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)