MEDICARE: CAROLINE ALYCE KNOLL CRNA

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
1	163W00000X	Registered Nurse	95195176	CA

General Provider Information

NPI Number	:	1548031156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE ALYCE KNOLL CRNA

Provider Business Mailing Address
First Line	:	4841 FINLANDIA WAY
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-6219
Country	:	US
Telephone Number	:	916-595-3987
Fax Number	:

Provider Business Practice Location Address
First Line	:	4841 FINLANDIA WAY
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-6219
Country	:	US
Telephone Number	:	916-595-3987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/27/2026

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Directions to “ CAROLINE ALYCE KNOLL CRNA” Practice Location

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