Provider Demographics
NPI:1619930849
Name:DARNALL, KAREN M (CRNA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:DARNALL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:LUMMI ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98262-0071
Mailing Address - Country:US
Mailing Address - Phone:425-923-0422
Mailing Address - Fax:
Practice Address - Street 1:1321 COLBY AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1665
Practice Address - Country:US
Practice Address - Phone:425-261-4042
Practice Address - Fax:425-262-4051
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00093800163W00000X
WAAP30002485367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9609751Medicaid
WA0170855OtherLABOR & INDUSTRY
WA50356UOtherREGENCE BLUESHIELD
WA8937911OtherL & I CRIME VICTIMS
WA0170855OtherLABOR & INDUSTRY
WAR34035Medicare UPIN