MEDICARE: BATHSHEBA YAO HILARIO 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	163WG0000X	General Practice Registered Nurse	RN60293718	WA
2	163WH0200X	Home Health Registered Nurse	RN106381	HI

General Provider Information

NPI Number	:	1780489625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BATHSHEBA YAO HILARIO RN

Provider Business Mailing Address
First Line	:	4314 SOUTH 179TH STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98188
Country	:	US
Telephone Number	:	206-280-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	4314 SOUTH 179TH STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98188
Country	:	US
Telephone Number	:	206-280-8989
Fax Number	:

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

Provider Enumeration Date	:	02/14/2025
Last Update Date	:	02/14/2025

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