Provider Demographics
NPI:1386423580
Name:KNECHT, CHRISTIE ANN
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:ANN
Last Name:KNECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35959 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:DESERT HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-6306
Mailing Address - Country:US
Mailing Address - Phone:623-445-3510
Mailing Address - Fax:
Practice Address - Street 1:35959 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:DESERT HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85086-6306
Practice Address - Country:US
Practice Address - Phone:623-445-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5572410-3102163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health