Individual ProviderDaniel VangenNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Ms:M4-Pfs, Seattle, WA 98101-2756(206) 223-6980(206) 515-5811PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Vangen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1558481713Provider TypeIndividualFull NameVangen, DanielCredentialCRNAGenderMaleSole ProprietorNoEnumeration Date3/30/2007Last Updated4/24/2013Contact InformationPractice LocationPractice Address1100 9th Ave, Ms:M4-Pfs, Seattle, WA 98101-2756Phone(206) 223-6980Fax(206) 223-6982Mailing LocationMailing Address1100 9th Ave, Ms:M4-Pfs, Seattle, WA 98101-2756Phone(206) 515-5811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP60291054WashingtonCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense209-006511IllinoisProvider IdentifiersIDDescriptionIssuerID1558481713DescriptionMedicaidIssuerUnlistedWashingtonID0299297DescriptionOtherIssuerLABOR & INDUSTRYWashington