Provider Demographics
NPI:1528862158
Name:ANGUIANO, KARLA TAIZ (CNA)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:TAIZ
Last Name:ANGUIANO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6070 CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-7120
Mailing Address - Country:US
Mailing Address - Phone:509-440-0951
Mailing Address - Fax:360-838-7827
Practice Address - Street 1:6070 CLAIR ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-7120
Practice Address - Country:US
Practice Address - Phone:509-440-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
757646311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home