Doctor Name: | MRS. MARIA EVELYN YNCIERTO BERMISA |
NPI Number: | 1154619732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 65172 |
Business Practice Address: | 45-691 Keaahala Rd Kaneohe, HI - 967443569 |
Business Phone Number: | 8082333775 |
Business Fax Number: | 8082333779 |
Mailing Address: | 45-691 Keaahala Rd, KANEOHE |
State: | HI |
Postal Code: | 967443569 |
Phone Number: | 8082333775 |
Fax Number: | 8082333779 |
NPI Enumeration Date: | 07/15/2011 |
NPI Last Update Date: | 07/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | RN 65172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |