Provider Demographics
NPI:1659450187
Name:DALE, KAREN MARIE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:DALE
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:5243 SILVER PEAK LN
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5078
Mailing Address - Country:US
Mailing Address - Phone:916-435-8433
Mailing Address - Fax:916-435-8433
Practice Address - Street 1:2025 MORSE AVE
Practice Address - Street 2:ANESTHESIA DEPARTMENT 2ND FLOOR
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2115
Practice Address - Country:US
Practice Address - Phone:916-973-7696
Practice Address - Fax:916-973-6354
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2021-12-30
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Provider Licenses
StateLicense IDTaxonomies
CA2702367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP87227Medicare UPIN