DALE KNIEVEL, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1568412278

Practice Address

1950 E CLARK ST
SUITE G
Pocatello, ID 83201

Phone: (208) 232-7760

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No N10107 (ID)
Nurse Anesthetist, Certified Registered 367500000X Yes RNA-33 (ID)

Frequently Asked Questions

NPI 1568412278 is the National Provider Identifier for DALE KNIEVEL, CRNA, a Nurse Anesthetist, Certified Registered provider located in Pocatello, ID. This NPI was enumerated on May 11, 2006.
DALE KNIEVEL, CRNA practices at 1950 E CLARK ST, SUITE G, Pocatello, ID 83201.

Quick Facts

NPI
1568412278
Type
Individual
Enumerated
May 11, 2006
Last Updated
Oct 26, 2011

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