Provider Demographics
NPI:1154951465
Name:MULUNEH, AGER MINALE (RN)
Entity type:Individual
Prefix:
First Name:AGER
Middle Name:MINALE
Last Name:MULUNEH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15225 E 19TH CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8016
Mailing Address - Country:US
Mailing Address - Phone:509-230-2669
Mailing Address - Fax:
Practice Address - Street 1:15225 E 19TH CT
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-8016
Practice Address - Country:US
Practice Address - Phone:509-230-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60891454163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse