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Alyssa Marie Tagata
Licensed Practical Nurse in Ewa Beach, Hawaii
NPI 1295399103

Alyssa Marie Tagata is a Licensed Practical Nurse based in Ewa Beach, HI. Alyssa Marie Tagata practices in Ewa Beach, HI. The NPI Number for Alyssa Marie Tagata is 1295399103 and holds a License No. 18962 (Hawaii).

The current practice location address for Alyssa Marie Tagata is 91-213 Kaieleele Pl, Ewa Beach, HI and can be reached out via phone at 808-238-9011.

Location: 91-213 Kaieleele Pl, Ewa Beach, HI, 96706-4617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295399103
Provider Name
Alyssa Marie Tagata
Credential
Provider Entity Type
Individual
Gender
Female
Address
91-213 Kaieleele Pl, Ewa Beach, HI, 96706-4617
Phone Number
808-238-9011
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91-213 Kaieleele Pl
City
Ewa Beach
State
Hawaii
Zip
96706-4617
Phone Number
808-238-9011
Fax Number
person
Provider Business Mailing Address Details
Address
91-213 Kaieleele Pl
City
Ewa Beach
State
Hawaii
Zip
96706-4617
Phone Number
808-238-9011
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
18962 (Hawaii)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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