Ponce, Joselyn Cabalo Funtanilla

Ponce, Joselyn Cabalo Funtanilla is an individual health care provider with primary practice located at 1 Jarrett White Rd Bldg 4 , Tripler Amc HI 96859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ponce, Joselyn Cabalo Funtanilla can be contacted via phone (808) 433-5759.

Contact Information

Primary practice address
1 Jarrett White Rd Bldg 4 Tripler Amc HI 96859
Phone: (808) 433-5759
Fax: (808) 433-2203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-795 Hawaii

Profile Details

NPI number 1467513168
LBN Legal business name Ponce, Joselyn Cabalo Funtanilla
Credentials APRN-RX
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467513168 NPPES
Hawaii Other 33 UHA
Hawaii Other 0000253732 UHA
Hawaii MEDICAID 568066 UHA

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