Most Relevant Information
Provider Data
| NPI Number: | 1003409988 |
| Provider Name: | RACHAEL MARIE KNUTESON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 67084 |
Most Important Dates
| Enumeration Date: | 02/11/2021 |
| Last Updated: | 02/11/2021 |
Provider Practice Location
1948 S EAGLE RD
MERIDIAN
ID
836422452
Practice Location Phone/Fax
| Phone: | 2083227900 |
| Fax: |
Provider Mailing Location
6472 E DANNSMORE DR
NAMPA
ID
836874116
Provider Mailing Phone/Fax
| Phone: | 2082960242 |
| Fax: |