1730176199 NPI number — MS. MARIA JOSEFINA CAMAGAN R.N.

Table of content: MS. MARIA JOSEFINA CAMAGAN R.N. (NPI 1730176199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730176199 NPI number — MS. MARIA JOSEFINA CAMAGAN R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMAGAN
Provider First Name:
MARIA
Provider Middle Name:
JOSEFINA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730176199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94-176 KEHELA PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAIPAHU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96797-1232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-473-1880
Provider Business Mailing Address Fax Number:
808-473-3638

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
480 CENTRAL AVE
Provider Second Line Business Practice Location Address:
NAVAL HEALTH CLINIC HAWAII
Provider Business Practice Location Address City Name:
PEARL HARBOR
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96860-4908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-473-1880
Provider Business Practice Location Address Fax Number:
808-473-3638
Provider Enumeration Date:
09/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WG0000X , with the licence number:  RN-26844 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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