Healthcare Provider Details

I. General information

NPI: 1477306678
Provider Name (Legal Business Name): BRIANNA MICHIKO CRUZATA ABERILLA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA MICHIKO CRUZATA TAYLOR

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 IWILEI RD STE 660
HONOLULU HI
96817-5392
US

IV. Provider business mailing address

680 IWILEI RD STE 660
HONOLULU HI
96817-5392
US

V. Phone/Fax

Practice location:
  • Phone: 828-924-8255
  • Fax: 808-791-8049
Mailing address:
  • Phone: 828-924-8255
  • Fax: 808-791-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4361
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-4361
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: