Provider Demographics
NPI:1164984985
Name:MAGDIRILA, ERLITA FERIA (RN)
Entity Type:Individual
Prefix:
First Name:ERLITA
Middle Name:FERIA
Last Name:MAGDIRILA
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 1:94-418 LOAA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1508
Mailing Address - Country:US
Mailing Address - Phone:808-725-0703
Mailing Address - Fax:808-744-7263
Practice Address - Street 1:94-418 LOAA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1508
Practice Address - Country:US
Practice Address - Phone:808-725-0703
Practice Address - Fax:808-744-7263
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI81705163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI81705OtherHAWAII RN LICENSE