MEDICARE: MADELYN G. LOCQUIAO NP

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	363L00000X	Nurse Practitioner	APRN-283	HI
2	363LF0000X	Family Nurse Practitioner	APRN-283	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000220160	OTHER	HI	HMSA PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053330076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN G. LOCQUIAO NP

Provider Business Mailing Address
First Line	:	45-480 KANEOHE BAY DR
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2039
Country	:	US
Telephone Number	:	808-261-8537
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 480 KANEOHE BAY DRIVE
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2039
Country	:	US
Telephone Number	:	808-235-5805
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/11/2024

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