Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN - 1688 | HI |
N | 363LA2200X | Nurse Practitioner - Adult Health | APRN - 1688 | HI |
NPI | 1013363316 |
---|---|
Provider Name | Bryana Gamido |
First Address | Honolulu, HI 96814-4549 |
Second Address | Honolulu, HI 96814-4549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2016 |
Last Update Date | 05/05/2016 |