=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780622845
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANITA M. KNELLER CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2006
-----------------------------------------------------
Last Update Date | 09/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9749 HUMMINGBIRD PL
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80125-8894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-941-0902
-----------------------------------------------------
Fax | 303-904-4242
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9749 HUMMINGBIRD PL
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80125-8894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-941-0902
-----------------------------------------------------
Fax | 303-904-4242
-----------------------------------------------------
=====================================================
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 | AP70145792
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 104692
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------