NPI Profile for LAURA A KNISLEY in BEAVERCREEK, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Lactation Consultant |
163WL0100X |
| NPI Number | 1104262443 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 05/14/2013 | |
| Last updated | 03/29/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LAURA A KNISLEY
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