Dale T Knievel is a Pocatello, Idaho based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Dale T Knievel is RNA-33 for Anesthesia Administration in Idaho. his current practice location is 1950 E Clark St, Suite G, Pocatello. Patients can reach him at 208-232-7760 or can fax him at 208-232-1950. Dale T Knievel is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1568412278. Dale T Knievel is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Dale T Knievel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Gender:
Male
Practice Address:
1950 E Clark St, Suite G, Pocatello, Idaho, 83201-3314
Phone:
208-232-7760
Fax:
208-232-1950
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568412278
NPI Enumeration Date:
11 May, 2006
NPI Last Update On:
26 Oct, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dale T Knievel are as mentioned below.
License Number
Specialization
State
Status
RNA-33
Anesthesia Administration
Idaho
Primary
N10107
Registered Nurse
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dale T Knievel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004373000
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 4107, Pocatello, Idaho
Zip:
83205-4107
Phone Number:
208-232-7760
Fax Number:
208-232-1950
Patients can reach Dale T Knievel at 1950 E Clark St, Suite G, Pocatello, Idaho or can call to book an appointment on 208-232-7760.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.