Dr Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN | |
1301 Punchbowl St, Emergency Department, Honolulu, HI 96813-2402 | |
(808) 551-6782 | |
Not Available |
Full Name | Dr Beverly Lauron Gaboya Inocencio |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1301 Punchbowl St, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750635371 | NPI | - | NPPES |
1601 | Other | HI | HAWAII APRN-RX LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 1601 (Hawaii) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 639381 (Texas) | Secondary |
Entity Name | The Emergency Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013943414 PECOS PAC ID: 1355244542 Enrollment ID: O20040127000600 |
Entity Name | Pali Momi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275588329 PECOS PAC ID: 6406746916 Enrollment ID: O20040318000395 |
Mailing Address | Practice Location Address |
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Dr Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN 770 Kapiolani Blvd, Suite 705, Honolulu, HI 96813-5212 Ph: (808) 551-6782 | Dr Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN 1301 Punchbowl St, Emergency Department, Honolulu, HI 96813-2402 Ph: (808) 551-6782 |
Ms. Chong Son An, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
Jessica Jung Ackerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Ohua Ave, Honolulu, HI 96815 Phone: 808-922-4787 | |
Mrs. Katie Akiko Azama, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 Waialae Ave, Honolulu, HI 96816 Phone: 808-732-0784 | |
Mr. Harold Marion Galara Palma, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Liliha St Ste 601, Honolulu, HI 96817 Phone: 808-523-0445 | |
May Gresko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 S Beretania St Ste 750, Honolulu, HI 96814 Phone: 808-536-2261 | |
Qi Zhi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817 Phone: 808-261-4476 | |
Samuel Jiun Jung, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1670 Makaloa St Ste 201a, Honolulu, HI 96814 Phone: 808-772-9673 |