Provider Demographics
NPI:1164273488
Name:DAHILIG, PHOEBE BALDONADO (RN)
Entity Type:Individual
Prefix:
First Name:PHOEBE
Middle Name:BALDONADO
Last Name:DAHILIG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PHOEBE
Other - Middle Name:BALDONADO
Other - Last Name:DAHILIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:91-1164 LUKAHIU PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4503
Mailing Address - Country:US
Mailing Address - Phone:808-392-8929
Mailing Address - Fax:808-744-3476
Practice Address - Street 1:91-1164 LUKAHIU PL
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4503
Practice Address - Country:US
Practice Address - Phone:808-392-8929
Practice Address - Fax:808-744-3476
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI54177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse