Provider Demographics
NPI:1871757211
Name:KNECHEL, NANCY ALICE (PHD, MSN, NP)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ALICE
Last Name:KNECHEL
Suffix:
Gender:F
Credentials:PHD, MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E PINE ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2482
Mailing Address - Country:US
Mailing Address - Phone:541-324-0399
Mailing Address - Fax:541-727-0219
Practice Address - Street 1:650 E PINE ST STE 102A
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2482
Practice Address - Country:US
Practice Address - Phone:541-324-0399
Practice Address - Fax:541-727-0219
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP17401363L00000X
OR201903328NP-PP363L00000X
CA633872363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care