Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN-188 | HI |
NPI | 1083707889 |
---|---|
Provider Name | Esther T. Ines |
First Address | Waianae, HI 96792-3128 |
Second Address | Waianae, HI 96792-3128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 31/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000220301 | HMSA (01) | HI |
54952903 | (05) | HI |
P15135 | (02) | HI |