Healthcare Provider Details

I. General information

NPI: 1588647507
Provider Name (Legal Business Name): NADINE STRAND MAHLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

IV. Provider business mailing address

220 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

V. Phone/Fax

Practice location:
  • Phone: 509-754-3330
  • Fax: 509-754-4809
Mailing address:
  • Phone: 509-754-4631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP30001812
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: