Provider Demographics
NPI:1831882760
Name:SCHALLA, ANGELA DAWN (RESPIRATORY THERAPIS)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DAWN
Last Name:SCHALLA
Suffix:
Gender:F
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17629 ELK CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-5025
Mailing Address - Country:US
Mailing Address - Phone:775-315-3171
Mailing Address - Fax:
Practice Address - Street 1:17629 ELK CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89508-5025
Practice Address - Country:US
Practice Address - Phone:775-315-3171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC2570227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified