Provider Demographics
NPI:1669264966
Name:APPLE, ANGIE LEE (BSN, RN, PMH-BC)
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:LEE
Last Name:APPLE
Suffix:
Gender:F
Credentials:BSN, RN, PMH-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10724 144TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8266
Mailing Address - Country:US
Mailing Address - Phone:608-333-2648
Mailing Address - Fax:
Practice Address - Street 1:307 S 13TH ST FL 2
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4100
Practice Address - Country:US
Practice Address - Phone:360-419-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61529352163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse