Connie D Knapper, CNP – Family Nurse Practitioner

Key facts

NPI: 1366470817
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 4704140084 (MI)
Practice address: 741 Richard Dr
Harrison, MI 48625-9289
Phone: (989) 539-6421
Fax: (989) 539-1180
NPI assigned: Jun 30, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

McLaren Central Michigan General Acute Care Hospital · Mt Pleasant, MI · NPI 1629004593

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
McLaren Central Michigan		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	4704140084	MI	Yes

Addresses

Primary practice location

741 Richard Dr
Harrison, MI 48625-9289

Mailing address

741 Richard Dr
Harrison, MI 48625-9289
Phone (989) 539-6421

Other identifiers

Identifier	Type	State	Issuer
4426910	Medicaid	MI

Other providers in Harrison, MI

All providers in Harrison, MI · Family Nurse Practitioner in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.