Provider Demographics
NPI:1083952626
Name:CAMACHO BAUTISTA, ERLINDA CARDONA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ERLINDA
Middle Name:CARDONA
Last Name:CAMACHO BAUTISTA
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 1:3928 S. GRAHAM ST.
Mailing Address - Street 2:AKI KUROSE SCHOOL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118
Mailing Address - Country:US
Mailing Address - Phone:206-252-7700
Mailing Address - Fax:206-252-7701
Practice Address - Street 1:3928 S. GRAHAM ST.
Practice Address - Street 2:AKI KUROSE SCHOOL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118
Practice Address - Country:US
Practice Address - Phone:206-252-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00105318163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse