Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2921 | HI |
N | 363LC1500X | Nurse Practitioner - Community Health | 15207 | CA |
Y | 363LC1500X | Nurse Practitioner - Community Health | 20044 | SC |
N | 363LX0106X | Nurse Practitioner - Occupational Health | 15027 | CA |
NPI | 1982860516 |
---|---|
Provider Name | Ms. Rieko Yoneda Barreto |
First Address | Kailua Kona, HI 96740 |
Second Address | Kailua Kona, HI 96740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 18/09/2020 |