Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN-508 | HI |
NPI | 1013099183 |
---|---|
Provider Name | Dr. Eileen M. Gawrys |
First Address | Honolulu, HI 96819-4405 |
Second Address | Honolulu, HI 96819-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 12/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000244186 | HMSA BILLING NUMBER (01) | HI |
54792902 | (05) | HI |
Q04082 | (02) | HI |