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NPI Code Detail

MEDICARE: MR. BRENT ARTHUR KNUTZEN ARNP

MEDICARE: MR. BRENT ARTHUR KNUTZEN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP70091797WA

General Provider Information

NPI Number : 1164383188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRENT ARTHUR KNUTZEN ARNP
Provider Business Mailing Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-946-4611
Fax Number :
Provider Business Practice Location Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-946-4611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 02/02/2026

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