Maricel Corpuz Coloma
Individual provider Active NPI Nurse's Aide · Waipahu, HI
NPI 1124774443 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1124774443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 1-210091 (HI)
- Practice address
- 94-524 Koaleo St
Waipahu, HI 96797-1634 - Phone
- (808) 450-5943
- Fax
- (808) 200-7287
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-210091 | HI | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1-210091 | HI | Yes |
Addresses
Primary practice location
94-524 Koaleo St
Waipahu, HI 96797-1634
Mailing address
94-524 Koaleo St
Waipahu, HI 96797-1634
Phone (808) 450-5943
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.