Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN-458 | HI |
NPI | 1003904608 |
---|---|
Provider Name | Ms. Sylvia Y. Terada |
First Address | Honolulu, HI 96813-3009 |
Second Address | Honolulu, HI 96813-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S21526 | (02) | HI |