Healthcare Provider Details

I. General information

NPI: 1457593097
Provider Name (Legal Business Name): ABBIE JOAN NEVES PHD, APRN-RX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 08/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1841 FORT WEAVER RD
EWA BEACH HI
96706-1909
US

IV. Provider business mailing address

PO BOX 1654
KANEOHE HI
96744-1654
US

V. Phone/Fax

Practice location:
  • Phone: 808-554-9494
  • Fax: 800-556-6891
Mailing address:
  • Phone: 808-554-9494
  • Fax: 808-239-6514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN 1046
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 57434
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: