Doctor Name: | MR. KEVIN GUARINO HITOSIS |
NPI Number: | 1255385340 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APRN, BC |
License Number: | NP0080 |
Business Practice Address: | Va Clinic Us Naval Hospital Building 1, E-200 Agana Heights, GU - 96919 |
Business Phone Number: | 6713449092 |
Business Fax Number: | |
Mailing Address: | Veterans Clinic, Usnh Guam,, Bldg. E-200 AGANA HEIGHTS |
State: | GU |
Postal Code: | 96919 |
Phone Number: | 6713449092 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP0080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |