Provider Demographics
NPI:1316198609
Name:KNAPP, LORRIE W (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:W
Last Name:KNAPP
Suffix:
Gender:F
Credentials:ARNP
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1190 E NINE MILE RD
Mailing Address - Street 2:WEST FLORIDA SENIOR HEALTH SERVICES
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-1651
Mailing Address - Country:US
Mailing Address - Phone:850-477-0401
Mailing Address - Fax:850-477-2183
Practice Address - Street 1:1190 E NINE MILE RD
Practice Address - Street 2:WEST FLORIDA SENIOR HEALTH SERVICES
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-1651
Practice Address - Country:US
Practice Address - Phone:850-477-0401
Practice Address - Fax:850-477-2183
Is Sole Proprietor?:No
Enumeration Date:2008-10-05
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3237502363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006744600Medicaid