Provider Demographics
NPI:1285609230
Name:KNAUFF, JULIA KAYE (FNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KAYE
Last Name:KNAUFF
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KAYE
Other - Last Name:EDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5500 KELL BLVD 500
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1620
Mailing Address - Country:US
Mailing Address - Phone:940-264-2273
Mailing Address - Fax:940-264-7379
Practice Address - Street 1:1101 9TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6471
Practice Address - Country:US
Practice Address - Phone:505-437-8411
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR50014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily