Angela Erdahl
Individual provider Active NPI Registered Nurse · Graham, WA
NPI 1114306164 · NPPES record last updated May 22, 2015
Key facts
- NPI
- 1114306164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN00172277 (WA)
- Practice address
- 12102 294TH St E
Graham, WA 98338-9048 - Phone
- (253) 847-2012
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00172277 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Erdahl, RN | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00172277 | WA | Yes |
Addresses
Primary practice location
12102 294TH St E
Graham, WA 98338-9048
Mailing address
12102 294TH St E
Graham, WA 98338-9048
Phone (253) 847-2012
Other providers in Graham, WA
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- Elevation Recovery
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- Engaging Growth PLLC
- Crystal Cay Estacio
- Tracy Everitt
- Sydney Lily Farnan
- Kara Beth Faubion
- Rebekah Feller
All providers in Graham, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.