Angela Erdahl, RN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RN00172277 Issued in WA

Legal business name

ANGELA ERDAHL, RN

Practice address

12102 294TH St E
Graham, WA 98338-9048

Phone

(253) 847-2012

NPI assigned

Jan 17, 2015

Last updated

Jan 17, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela M Erdahl, RNNPI 1114306164

Title

Registered Nurse

Phone

(253) 847-2012

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Erdahl

  • Registered Nurse
  • Graham, WA
  • NPI 1114306164
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1356730022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "KAPOWSIN",
            "state": "WA",
            "postal_code": "983440158",
            "telephone_number": "253-847-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12102 294TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983389048",
            "telephone_number": "253-847-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA ERDAHL, RN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "ERDAHL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "253-847-2012",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "RN00172277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Graham, WA
• Providers in Graham, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.