Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Clark

Individual provider Registered Nurse · NPI 1265978902

Daniel Clark is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2017, 9 years ago. Practices with Providence Health and Service- Washington, a 172-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

101 W 8th Ave
Spokane, WA 99204-2307
Phone: (509) 474-2072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60732194 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60701689 (WA)

Record details

NPI number1265978902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021
Mailing addressPo Box 94645, Seattle, WA 98124-6945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Service- Washington — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane