Heather Nicole Knutson in Eagle - Dermatology
Heather Nicole Knutson - NPI 1215936034
Heather Nicole Knutson is a Dermatology in Eagle, Idaho. Heather Nicole Knutson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Heather Nicole Knutson is 1215936034. The last update date is 2022-11-03.
Heather Nicole Knutson's current location address is 1605 E Riverside Drive, Eagle, Idaho. You can contact this provider via phone number 2089396227 and fax number 2089396442. The mailing address for Heather Nicole Knutson is 1605 E Riverside Drive, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Nicole Knutson |
|---|---|
| Address | 1605 E Riverside Drive, Eagle, Idaho |
| Phone Number | 2089396227 |
| Fax Number | 2089396442 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1215936034 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2022-11-03 |
Provider Mailing Address Detail
| Address | 1605 E Riverside Drive |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836166237 |
| Phone Number | 2089396227 |
| Fax Number | 2089396442 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | NP672A |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00748833 | ID | RAILROAD MEDICARE 08/01/09 | |
| NP 672A | ID | NP LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather Nicole Knutson by the Centers for Medicare & Medicaid Services?
The Heather Nicole Knutson has been issued the NPI (National Provider Identifier) 1215936034, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Heather Nicole Knutson?
The Heather Nicole Knutson is physically situated at 1605 E Riverside Drive, in the city of Eagle, state of ID, with the postal code 836166237.
What is Heather Nicole Knutson's area of expertise and its corresponding taxonomy classification?
The Heather Nicole Knutson's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1215936034 to Heather Nicole Knutson?
The Heather Nicole Knutson received its 1215936034 assignment from the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information regarding Heather Nicole Knutson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heather Nicole Knutson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-03.