Provider Demographics
NPI:1154629061
Name:NOGUEIRA DE OLIVEIRA, BEATRIZ MARCONDES (PT)
Entity Type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:MARCONDES
Last Name:NOGUEIRA DE OLIVEIRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:BEATRIZ
Other - Middle Name:MARCONDES
Other - Last Name:NOGUEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:98-785 IHO PL APT C
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2519
Mailing Address - Country:US
Mailing Address - Phone:808-265-6870
Mailing Address - Fax:
Practice Address - Street 1:98-785 IHO PL APT C
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-265-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-3340174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist