Provider Demographics
NPI:1992573877
Name:MACAPINLAC, ODELLET AQUINO (BSN RN)
Entity type:Individual
Prefix:
First Name:ODELLET
Middle Name:AQUINO
Last Name:MACAPINLAC
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11319 NE 36TH PL APT 533
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7791
Mailing Address - Country:US
Mailing Address - Phone:360-929-2330
Mailing Address - Fax:
Practice Address - Street 1:11319 NE 36TH PL APT 533
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7791
Practice Address - Country:US
Practice Address - Phone:360-929-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95349158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse