Provider Demographics
NPI:1548265432
Name:KNITOWSKI, NATALIE C (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:C
Last Name:KNITOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 THOMAS JONES WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2552
Mailing Address - Country:US
Mailing Address - Phone:610-280-9999
Mailing Address - Fax:215-615-1320
Practice Address - Street 1:479 THOMAS JONES WAY STE 300
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2552
Practice Address - Country:US
Practice Address - Phone:610-280-9999
Practice Address - Fax:215-615-1320
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
970026444OtherRAILROAD MEDICARE
DEP34362OtherCOVENTRY
DEP34362OtherBCBS
DE007381C10Medicare ID - Type Unspecified
970026444OtherRAILROAD MEDICARE