Provider Demographics
NPI:1942393426
Name:RIEGER, ERIN (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:RIEGER
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 1:2511 M AVE
Mailing Address - Street 2:STE C
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221
Mailing Address - Country:US
Mailing Address - Phone:360-293-4343
Mailing Address - Fax:
Practice Address - Street 1:2511 M AVE
Practice Address - Street 2:STE C
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221
Practice Address - Country:US
Practice Address - Phone:360-293-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00086332207R00000X
WAAP30006015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5412RIOtherREGENCE BLUE SHIELD
WA167123OtherWORKMANS COMP
WA9632530Medicaid
WAGAB33049Medicare ID - Type Unspecified
WA167123OtherWORKMANS COMP