Phyllis Knickerbocker in Joplin - Nurse Anesthetist, Certified Registered
Phyllis Knickerbocker - NPI 1528035144
Phyllis Knickerbocker is a Nurse Anesthetist, Certified Registered in Joplin, Missouri. Phyllis Knickerbocker practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Phyllis Knickerbocker is 1528035144. The last update date is 2007-07-08.
Phyllis Knickerbocker's current location address is 2727 Mcclelland Blvd, Joplin, Missouri. You can contact this provider via phone number 4177812727 and fax number 3166520340. The mailing address for Phyllis Knickerbocker is 2727 Mcclelland Blvd, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Knickerbocker |
|---|---|
| Address | 2727 Mcclelland Blvd, Joplin, Missouri |
| Phone Number | 4177812727 |
| Fax Number | 3166520340 |
| Sole Proprietor | X |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1528035144 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2727 Mcclelland Blvd |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041626 |
| Phone Number | 4177812727 |
| Fax Number | 3166520340 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 1999137827 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 108602A | MO | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Phyllis Knickerbocker?
The Phyllis Knickerbocker has been issued the NPI (National Provider Identifier) 1528035144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Phyllis Knickerbocker's facilities are geographically located?
The facilities of Phyllis Knickerbocker are physically situated at the following location: 2727 Mcclelland Blvd, Joplin, MO, 648041626.
What is Phyllis Knickerbocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Phyllis Knickerbocker is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did Phyllis Knickerbocker receive its 1528035144 assignment from the Centers for Medicare & Medicaid Services?
The Phyllis Knickerbocker was assigned its 1528035144 on 2006-03-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Phyllis Knickerbocker last refreshed?
The information related to the Phyllis Knickerbocker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.