Individual provider · Type 1 NPI
Jill Knechtel Sanvordenker, NP
Pediatric Nurse Practitioner · Northville, MI
NPI number
1811201254
Active
Practice location
39901 Traditions Dr
Northville, MI 48168-9493
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704131164 (MI) |
| Nurse Practitioner | 363L00000X | 4704131164 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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- Amy KrzyzaniakPhysical Therapist Northville, MI NPI 1811499916
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- Audrey L. Fan, MDInternal Medicine Physician Northville, MI NPI 1750470977
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About NPI 1811201254
Jill Knechtel Sanvordenker, NP's National Provider Identifier is 1811201254, issued on Jul 27, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Northville, MI. The record was last updated on Sep 22, 2020.