Provider Demographics
NPI:1548794340
Name:KNUTHS, AMBER (CRNA)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:KNUTHS
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 1:4514 RUNNING W DR
Mailing Address - Street 2:APARTMENT 303
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-2025
Mailing Address - Country:US
Mailing Address - Phone:406-647-9622
Mailing Address - Fax:
Practice Address - Street 1:4514 RUNNING W DR
Practice Address - Street 2:APARTMENT 303
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-2025
Practice Address - Country:US
Practice Address - Phone:406-647-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY37454.1618367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered