MEDICARE: DR. NANCY ALICE KNECHEL PHD, MSN, NP

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	363L00000X	Nurse Practitioner	FNP17401	CA
2	363L00000X	Nurse Practitioner	201903328NP-PP	OR
3	363LA2100X	Acute Care Nurse Practitioner	633872	CA

General Provider Information

NPI Number	:	1871757211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY ALICE KNECHEL PHD, MSN, NP

Provider Business Mailing Address
First Line	:	650 E PINE ST STE 102A
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-2482
Country	:	US
Telephone Number	:	541-324-0399
Fax Number	:	541-727-0219

Provider Business Practice Location Address
First Line	:	650 E PINE ST STE 102A
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-2482
Country	:	US
Telephone Number	:	541-324-0399
Fax Number	:	541-727-0219

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

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	09/15/2025

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