Vicerra-Jaena, Macrina U

Vicerra-Jaena, Macrina U is an individual health care provider with primary practice located at 91-896 Makule Rd Suite 102, Ewa Beach HI 96706-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vicerra-Jaena, Macrina U can be contacted via phone (808) 689-4414.

Contact Information

Primary practice address
91-896 Makule Rd Suite 102 Ewa Beach HI 96706-2526
Phone: (808) 689-4414
Fax: (808) 689-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN 455 Hawaii

Profile Details

NPI number 1992758015
LBN Legal business name Vicerra-Jaena, Macrina U
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 26th, 2008 - about 17 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 1992758015 NPPES
Hawaii Other H54603 MEDICARE PROVIDER NUMBER
Hawaii Other H54601 MEDICARE PROVIDER NUMBER

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