Provider Demographics
NPI:1649016239
Name:AGUILAR, DOLORES (RN)
Entity type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DOLORES
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:810 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:EVERSON
Mailing Address - State:WA
Mailing Address - Zip Code:98247-8737
Mailing Address - Country:US
Mailing Address - Phone:360-421-1923
Mailing Address - Fax:
Practice Address - Street 1:459 W STUART RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-1204
Practice Address - Country:US
Practice Address - Phone:360-671-5872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60131699163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management