1508586314 NPI number — MISS JOVIELYN BARAZAN ESPINUEVA BSN

Table of content: MS. LOUISE WALKER LOVING POLANSKY LCSW, LMHC, LCAC (NPI 1508142597)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508586314 NPI number — MISS JOVIELYN BARAZAN ESPINUEVA BSN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESPINUEVA
Provider First Name:
JOVIELYN
Provider Middle Name:
BARAZAN
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
BSN
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:
1508586314
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1226 AULD LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-3419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-741-5999
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1226 AULD LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-741-5999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2022

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: 101YM0800X , 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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