Healthcare Provider Details

I. General information

NPI: 1922923457
Provider Name (Legal Business Name): JOANNE PABATE VILLANUEVA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1528 HOIKAU ST
EWA BEACH HI
96706-5679
US

IV. Provider business mailing address

91-1528 HOIKAU ST
EWA BEACH HI
96706-5679
US

V. Phone/Fax

Practice location:
  • Phone: 323-516-8264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number78266
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: