Healthcare Provider Details

I. General information

NPI: 1265020002
Provider Name (Legal Business Name): ANGELA T. KALEM DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9212 E MONTGOMERY AVE STE 401-1
SPOKANE VALLEY WA
99206-4269
US

IV. Provider business mailing address

9212 E MONTGOMERY AVE STE 401-1
SPOKANE VALLEY WA
99206-4269
US

V. Phone/Fax

Practice location:
  • Phone: 509-517-7465
  • Fax: 509-641-4625
Mailing address:
  • Phone: 509-517-7465
  • Fax: 509-641-4625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11011339
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN9278408
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number11011339
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61539393
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: