Provider Demographics
NPI:1962752071
Name:NOWELL, NANCY KNIGHT (MPA MED)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KNIGHT
Last Name:NOWELL
Suffix:
Gender:F
Credentials:MPA MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WEDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-2125
Mailing Address - Country:US
Mailing Address - Phone:215-836-1111
Mailing Address - Fax:
Practice Address - Street 1:1101 WEDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2125
Practice Address - Country:US
Practice Address - Phone:215-836-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-16
Last Update Date:2012-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst