Maria Evelyn Yncierto Bermisa, RN

Individual provider Active NPI Case Management Registered Nurse · Kaneohe, HI

NPI 1154619732 · NPPES record last updated Jul 15, 2011

Key facts

NPI
1154619732
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
RN 65172 (HI)
Practice address
45-691 Keaahala Rd
Kaneohe, HI 96744-3569
Phone
(808) 233-3775
Fax
(808) 233-3779
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 65172HIMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN 65172 HI Yes

Addresses

Primary practice location

45-691 Keaahala Rd
Kaneohe, HI 96744-3569

Mailing address

45-691 Keaahala Rd
Kaneohe, HI 96744-3569
Phone (808) 233-3775

Other providers in Kaneohe, HI

All providers in Kaneohe, HI · Case Management Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.