Individual
DANIEL VANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209-006511
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60291054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299297
LABOR & INDUSTRY
WA
05
—
1558481713
—
WA
Enumeration date
03/30/2007
Last updated
04/24/2013
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