Healthcare Provider Details

I. General information

NPI: 1417872938
Provider Name (Legal Business Name): AMANDA JOY NAGEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S SHERMAN ST STE 201
SPOKANE WA
99202-1342
US

IV. Provider business mailing address

610 S SHERMAN ST STE 201
SPOKANE WA
99202-1342
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-0885
  • Fax: 509-795-0895
Mailing address:
  • Phone: 509-473-0885
  • Fax: 509-795-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.70152936
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: