Individual provider · Type 1 NPI

Phyllis Knickerbocker, CRNA

Certified Registered Nurse Anesthetist · Joplin, MO

NPI number 1528035144 Active

Practice location

2727 Mcclelland Blvd
Joplin, MO 64804-1626

Fax (316) 652-0340

Mailing address

PO Box 760
Joplin, MO 64802-0760

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X1999137827 (MO)

Certified Registered Nurse Anesthetist: (1) A licensed 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 creden…

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About NPI 1528035144

Phyllis Knickerbocker, CRNA's National Provider Identifier is 1528035144, issued on Mar 2, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Joplin, MO. The record was last updated on Jul 13, 2026.