Provider Demographics
NPI:1164818662
Name:REEVES, NORMAN HOWARD II (APRN-CCNS)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:HOWARD
Last Name:REEVES
Suffix:II
Gender:M
Credentials:APRN-CCNS
Other - Prefix:MR
Other - First Name:NORM
Other - Middle Name:
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-CCNS
Mailing Address - Street 1:500 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4920
Mailing Address - Country:US
Mailing Address - Phone:808-522-7500
Mailing Address - Fax:
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-522-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1705364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine