Healthcare Provider Details

I. General information

NPI: 1205890100
Provider Name (Legal Business Name): RUBY F IGARASHI APRN., BC.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD VAPIHCS
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

459 PATTERSON RD VAPIHCS TRIPLER AMC
HONOLULU HI
96819-1522
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-0416
  • Fax:
Mailing address:
  • Phone: 808-433-0416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number76
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: