Provider Demographics
NPI:1427736263
Name:KNOX, CAMMIE
Entity type:Individual
Prefix:
First Name:CAMMIE
Middle Name:
Last Name:KNOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BLUFFS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2465
Mailing Address - Country:US
Mailing Address - Phone:177-577-7847
Mailing Address - Fax:
Practice Address - Street 1:215 BLUFFS AVE STE 200
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2465
Practice Address - Country:US
Practice Address - Phone:177-577-7847
Practice Address - Fax:775-777-7488
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1202763069163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse