Healthcare Provider Details

I. General information

NPI: 1780141648
Provider Name (Legal Business Name): TRISHA KIMI BARRETTO INOUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRISHA KIMI BARRETTO HIRONAKA

II. Dates (important events)

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

III. Provider practice location address

888 S KING ST
HONOLULU HI
96813-3097
US

IV. Provider business mailing address

888 S KING ST
HONOLULU HI
96813-3097
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4233
  • Fax:
Mailing address:
  • Phone: 808-522-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number2527
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: