Ekaette Amanda Angell, RN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Ruston, WA

NPI 1013830892 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1013830892
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
9207117 (FL)
Practice address
5219 N Shirley St Ste 4
Ruston, WA 98407-6599
Phone
(253) 200-1683
Fax
(253) 642-8590
NPI assigned
Jul 30, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 9207117 FL Yes

Addresses

Primary practice location

5219 N Shirley St Ste 4
Ruston, WA 98407-6599

Mailing address

3735 N Villard St
Tacoma, WA 98407-3523
Phone (253) 200-1683

Other providers in Ruston, WA

All providers in Ruston, WA · Critical Care Medicine Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.