Provider Demographics
NPI:1164092516
Name:PAREL, MYRTLE TUMBAGA (APRN)
Entity Type:Individual
Prefix:
First Name:MYRTLE
Middle Name:TUMBAGA
Last Name:PAREL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1388 MOANIANI ST STE 207
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6604
Mailing Address - Country:US
Mailing Address - Phone:808-677-9988
Mailing Address - Fax:
Practice Address - Street 1:94-1388 MOANIANI ST STE 207
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6604
Practice Address - Country:US
Practice Address - Phone:808-677-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4071363LP0200X
HIRN-81142163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse