MEDICARE: NALINEE PACHECO RN

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	313752	AZ
2	163W00000X	Registered Nurse	95373	HI

General Provider Information

NPI Number	:	1619831914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NALINEE PACHECO RN

Provider Business Mailing Address
First Line	:	PO BOX 3666
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-6666
Country	:	US
Telephone Number	:	808-855-8826
Fax Number	:

Provider Business Practice Location Address
First Line	:	8777 W PORT AU PRINCE LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85381-2808
Country	:	US
Telephone Number	:	808-855-8826
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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