Erica Jean Avery Macri, RN
Individual provider Active NPI Registered Nurse · Pahoa, HI
NPI 1174277339 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1174277339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 90036 (HI)
- Practice address
- 13-1144 Leilani Ave
Pahoa, HI 96778-8246 - Phone
- (541) 921-2192
- NPI assigned
- Feb 7, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 90036 | HI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 90036 | HI | Yes |
Addresses
Primary practice location
13-1144 Leilani Ave
Pahoa, HI 96778-8246
Mailing address
13-1144 Leilani Ave
Pahoa, HI 96778-8246
Phone (541) 921-2192
Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 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.