Healthcare Provider Details

I. General information

NPI: 1780489625
Provider Name (Legal Business Name): BATHSHEBA YAO HILARIO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BATHSHEBA YAO RN

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4314 SOUTH 179TH STREET
SEATTLE WA
98188
US

IV. Provider business mailing address

4314 SOUTH 179TH STREET
SEATTLE WA
98188
US

V. Phone/Fax

Practice location:
  • Phone: 206-280-8989
  • Fax:
Mailing address:
  • Phone: 206-280-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN60293718
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN106381
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: