Healthcare Provider Details

I. General information

NPI: 1548164734
Provider Name (Legal Business Name): PATRICIA U NUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1029 HANAKAHI ST
EWA BEACH HI
96706-2237
US

IV. Provider business mailing address

91-1029 HANAKAHI ST
EWA BEACH HI
96706-2237
US

V. Phone/Fax

Practice location:
  • Phone: 808-778-5255
  • Fax: 808-689-6800
Mailing address:
  • Phone: 808-778-5255
  • Fax: 808-689-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHI020404689
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: