Healthcare Provider Details

I. General information

NPI: 1467229807
Provider Name (Legal Business Name): MRS. MARGARET PASCUAL DEUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2499
US

IV. Provider business mailing address

91-1069 HOOMALIU ST
KAPOLEI HI
96707-2788
US

V. Phone/Fax

Practice location:
  • Phone: 808-792-9888
  • Fax:
Mailing address:
  • Phone: 808-384-4843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number76772
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: