Provider Demographics
NPI:1588647507
Name:MAHLER, NADINE STRAND (ARNP)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:STRAND
Last Name:MAHLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 NAT WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-1982
Mailing Address - Country:US
Mailing Address - Phone:509-754-4631
Mailing Address - Fax:
Practice Address - Street 1:220 NAT WASHINGTON WAY
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1982
Practice Address - Country:US
Practice Address - Phone:509-754-3330
Practice Address - Fax:509-754-4809
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001812363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9608845Medicaid
WA137895OtherLABOR AND INDUSTRIES
WA137895OtherLABOR AND INDUSTRIES
WA9608845Medicaid