person
Macrina U Vicerra-jaena, APRN
Family Nurse Practitioner in Ewa Beach, Hawaii
NPI 1992758015

Macrina U Vicerra-jaena is a Family Nurse Practitioner based in Ewa Beach, HI and is specialized in Family. Macrina U Vicerra-jaena practices in Ewa Beach, HI and has the professional credentials of APRN. The NPI Number for Macrina U Vicerra-jaena is 1992758015 and holds a License No. APRN 455 (Hawaii).

The current practice location address for Macrina U Vicerra-jaena is 91-896 Makule Rd, Ewa Beach, HI and can be reached out via phone at 808-689-4414 and via fax at 808-689-7115.

Location: 91-896 Makule Rd, Ewa Beach, HI, 96706-2526
person
Provider Profile Details
NPI Number
1992758015
Provider Name
Macrina U Vicerra-jaena
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
91-896 Makule Rd, Ewa Beach, HI, 96706-2526
Phone Number
808-689-4414
Fax Number
808-689-7115
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H54603 01 HI MEDICARE PROVIDER NUMBER
H54601 01 HI MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
91-896 Makule Rd
City
State
Zip
96706-2526
Phone Number
808-689-4414
Fax Number
808-689-7115
person
Provider Business Mailing Address Details
Address
91-896 Makule Rd
City
State
Zip
96706-2526
Phone Number
808-689-4414
Fax Number
808-689-7115
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN 455 (Hawaii)
Definition
Definition to come...
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