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NPI Code Detail

MEDICARE: MARCELINO CLAPANO MAGLINTE JR. FNP

MEDICARE: MARCELINO CLAPANO MAGLINTE JR. FNP
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
1363LF0000XFamily Nurse Practitioner95031756CA

General Provider Information

NPI Number : 1114800802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELINO CLAPANO MAGLINTE JR. FNP
Provider Business Mailing Address
First Line : 5115 N DYSART RD STE 202-613
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-3032
Country : US
Telephone Number : 623-439-4369
Fax Number : 888-725-0660
Provider Business Practice Location Address
First Line : 711 CAPITOL WAY S STE 204
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-1267
Country : US
Telephone Number : 623-439-4369
Fax Number : 888-725-0660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 03/24/2026

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