Doctor Name: | EDWARD DAMIAN UZUETA |
NPI Number: | 1194976753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | RN-64216 |
Business Practice Address: | 91-2301 Old Ft Weaver Rd Ewa Beach, HI - 967063602 |
Business Phone Number: | 8086718511 |
Business Fax Number: | |
Mailing Address: | 91-605 Kuilioloa Pl, #w2 EWA BEACH |
State: | HI |
Postal Code: | 967062646 |
Phone Number: | 8086871810 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN-64216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |