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ANGELA ERDAHL RN NPI 1356730022


NPI Information

NPI: 1356730022
Provider Name: ANGELA ERDAHL, RN
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12102 294TH ST E
GRAHAM, WA
ZIP 98338
Phone: (253) 847-2012
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ANGELA ERDAHL, RN is an assisted living facility in Graham, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ANGELA ERDAHL, RN NPI is 1356730022. The provider is registered as an organization entity type.

The provider's business location address is:

12102 294TH ST E
GRAHAM, WA
ZIP 98338-048
Phone: (253) 847-2012

The provider's authorized official is Angela M Erdahl .
The authorized official title is Registered Nurse and has the following contact phone number (253) 847-2012.

The enumeration date for this NPI number is 1/17/2015 and was last updated on 1/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityRN00172277WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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