Robert Angrisano
Individual provider Active NPI Basic Emergency Medical Technician · Fall City, WA
NPI 1609244201 · NPPES record last updated Sep 13, 2015
Key facts
- NPI
- 1609244201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- EMT.ES.60444798 (WA)
- Practice address
- 30338 SE 26TH St
Fall City, WA 98024-7600 - Phone
- (425) 443-5421
- NPI assigned
- Sep 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| EMT.ES.60444798 | WA | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT.ES.60444798 | WA | Yes |
Addresses
Primary practice location
30338 SE 26TH St
Fall City, WA 98024-7600
Mailing address
PO Box 1089
Fall City, WA 98024-1089
Phone (425) 443-5421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EMT.ES.60444798 | Other | WA | EMS CERTIFIATION |
Other providers in Fall City, WA
- Gabriela Ayala-Canizares
- Rachel Bishop
- Justin David Copeland
- Paige Anne Coslett
- Jennifer Leigh Dalgleish
All providers in Fall City, WA · Basic Emergency Medical Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 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.