Provider Demographics
NPI:1114800802
Name:MAGLINTE, MARCELINO JR (FNP)
Entity type:Individual
Prefix:
First Name:MARCELINO
Middle Name:
Last Name:MAGLINTE
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 N DYSART RD STE 202-613
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-3032
Mailing Address - Country:US
Mailing Address - Phone:623-439-4369
Mailing Address - Fax:888-725-0660
Practice Address - Street 1:711 CAPITOL WAY S STE 204
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1267
Practice Address - Country:US
Practice Address - Phone:623-439-4369
Practice Address - Fax:888-725-0660
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70019089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily