Individual
CHANEL MARIE TANGEN PATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 LINHART AVE NE STE A, NAPAVINE, WA 98565-1527
(360) 745-2736
(833) 973-5927
Mailing address
172 HOLGATE LN, CHEHALIS, WA 98532-8964
(360) 880-4955
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60974097
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133821
—
WA
Enumeration date
07/04/2019
Last updated
09/23/2025
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