Provider Demographics
NPI:1003904608
Name:TERADA, SYLVIA Y (NP)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:Y
Last Name:TERADA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 S KING ST
Mailing Address - Street 2:STRAUB DEPARTMENT OF DERMATOLOGY
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3009
Mailing Address - Country:US
Mailing Address - Phone:808-522-4360
Mailing Address - Fax:808-522-3361
Practice Address - Street 1:888 S KING ST
Practice Address - Street 2:DERMATOLOGY DEPARTMENT
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3009
Practice Address - Country:US
Practice Address - Phone:808-522-4360
Practice Address - Fax:808-522-3361
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-458363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIS21526Medicare UPIN