Provider Demographics
NPI:1932173127
Name:KNIGHT, DANIEL B (NP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:B
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMS
Mailing Address - State:AZ
Mailing Address - Zip Code:86046-2448
Mailing Address - Country:US
Mailing Address - Phone:855-277-5901
Mailing Address - Fax:833-731-0353
Practice Address - Street 1:112 W. PARK AVE
Practice Address - Street 2:
Practice Address - City:ASH FORK
Practice Address - State:AZ
Practice Address - Zip Code:86320
Practice Address - Country:US
Practice Address - Phone:855-277-5901
Practice Address - Fax:833-731-0353
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2115363LF0000X
AZRN103251363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN103251OtherRN LICENSE
AZAP2115OtherFNP CERTIFICATE