| Doctor Name: | BEVERLY ESPLANA TUMBAGA |
| NPI Number: | 1275964223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RX-503 |
| Business Practice Address: | 4643 Waimea Canyon Dr. Waimea, HI - 96796 |
| Business Phone Number: | 1808338831 |
| Business Fax Number: | |
| Mailing Address: | Po Box 669, WAIMEA |
| State: | HI |
| Postal Code: | 967960669 |
| Phone Number: | 1808338831 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2013 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RX-503 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |