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

Karly Michelle Clark

Individual provider Certified Registered Nurse Anesthetist · NPI 1760014450

Karly Michelle Clark is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2023, 3 years ago. Practices with Providence Health and Service- Washington, a 172-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

101 W 8th Ave
Spokane, WA 99204-2307
Phone: (509) 747-3131
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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 AP61446232 (WA)

Record details

NPI number1760014450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing addressPo Box 4069, Everett, WA 98204-0007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 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