MEDICARE: KIMBERLY DAWN NISHINA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4463	HI
2	207Q00000X	Family Medicine Physician	AP61498604	WA

General Provider Information

NPI Number	:	1275381626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY DAWN NISHINA ARNP

Provider Business Mailing Address
First Line	:	46-048 ALIIKANE PL APT 2225
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-3789
Country	:	US
Telephone Number	:	360-936-5979
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ALOHA TOWER DR STE 1315
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-4815
Country	:	US
Telephone Number	:	808-544-9361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2024
Last Update Date	:	02/04/2026

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Directions to “ KIMBERLY DAWN NISHINA ARNP” Practice Location

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