Provider Demographics
NPI:1427395466
Name:MACPHERSON, ANGELA RUTH (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RUTH
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 J ST SE
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:WA
Mailing Address - Zip Code:98848-1585
Mailing Address - Country:US
Mailing Address - Phone:509-787-8992
Mailing Address - Fax:509-787-8995
Practice Address - Street 1:21 J ST SE
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:WA
Practice Address - Zip Code:98848-1585
Practice Address - Country:US
Practice Address - Phone:509-787-8992
Practice Address - Fax:509-787-8995
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60248892163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool