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General NPI Number Information
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NPI Number | 1619840790
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Entity Type | Individual
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Provider Name | JOYCE L WATSON BIALECK RN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 105 MAUI LANI PKWY STE 100
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City | WAILUKU
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State | HI
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Zip | 96793-2443
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Country | US
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Telephone | 808-442-7777
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Fax | 808-442-7778
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Provider Business Mailing Address
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Address Line | PO BOX 3068
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City | PORTLAND
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State | OR
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Zip | 97208-3068
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Country | US
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Telephone | 503-229-7976
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Fax | 503-274-4867
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-98824
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN10003012
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License Number State | OR
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