Elsa Atis
Individual provider Active NPI Nurse's Aide · Ewa Beach, HI
NPI 1386013365 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1386013365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- HI020407159 (HI)
- Practice address
- 91-845 Kapana PL
Ewa Beach, HI 96706-2814 - Phone
- (808) 888-2278
- Fax
- (808) 888-2278
- NPI assigned
- Sep 18, 2015
- 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 |
|---|---|---|---|
| HI020407159 | HI | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HI020407159 | HI | Yes |
Addresses
Primary practice location
91-845 Kapana PL
Ewa Beach, HI 96706-2814
Mailing address
91-845 Kapana PL
Ewa Beach, HI 96706-2814
Phone (808) 888-2278
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. 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.