=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033777263
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GARA KNUDTSON DNAP, CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2019
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 835 SE BISHOP BLVD
-----------------------------------------------------
City | PULLMAN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99163-5512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-332-2541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 835 SE BISHOP BLVD
-----------------------------------------------------
City | PULLMAN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99163-5512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-332-2541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | D163252
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 99093221A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | MS6049527
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | AP61005911
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------