Provider Demographics
NPI:1023447471
Name:ANGLE, JANICE (R N)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:ANGLE
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 SHATTUCK AVE S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4244
Mailing Address - Country:US
Mailing Address - Phone:206-380-0042
Mailing Address - Fax:425-516-7593
Practice Address - Street 1:2130 SHATTUCK AVE S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4244
Practice Address - Country:US
Practice Address - Phone:206-380-0042
Practice Address - Fax:425-516-7593
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00117028163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse