Erica Gaertner, RN

Individual provider Active NPI Registered Nurse · Soap Lake, WA

NPI 1790299667 · NPPES record last updated Nov 29, 2017

Key facts

NPI
1790299667
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN60228742 (WA)
Practice address
19652 Road a.5 NE
Soap Lake, WA 98851-9613
Phone
(509) 431-8059
NPI assigned
Nov 29, 2017
Sex
Female
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60228742WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60228742 WA Yes

Addresses

Primary practice location

19652 Road a.5 NE
Soap Lake, WA 98851-9613

Mailing address

19652 Road a.5 NE
Soap Lake, WA 98851-9613

Other providers in Soap Lake, WA

All providers in Soap Lake, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.