Provider Demographics
NPI:1497476758
Name:MACAPINLAC, ERDYLLE LOVE AQUINO (RN)
Entity Type:Individual
Prefix:
First Name:ERDYLLE LOVE
Middle Name:AQUINO
Last Name:MACAPINLAC
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 1:11319 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:360-929-1776
Mailing Address - Fax:
Practice Address - Street 1:1705 NE PACIFIC ST
Practice Address - Street 2:HEALTH SCIENCES BUILDING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-543-8736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60848839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse