MEDICARE: ERDYLLE LOVE AQUINO MACAPINLAC ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	60848839	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP.AP.70120815-NP	WA

General Provider Information

NPI Number	:	1497476758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERDYLLE LOVE AQUINO MACAPINLAC ARNP

Provider Business Mailing Address
First Line	:	11319 NE 36TH PL APT 533
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-7791
Country	:	US
Telephone Number	:	360-929-1776
Fax Number	:

Provider Business Practice Location Address
First Line	:	19435 68TH AVE S STE S106
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-2114
Country	:	US
Telephone Number	:	253-414-1983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	06/04/2026

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