Provider Demographics
NPI:1164889242
Name:MIYASHIRO, PAMELA GEYROZAGA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:GEYROZAGA
Last Name:MIYASHIRO
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 1:1188 BISHOP ST STE 1902
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3307
Mailing Address - Country:US
Mailing Address - Phone:808-258-4973
Mailing Address - Fax:808-356-1914
Practice Address - Street 1:1188 BISHOP ST STE 1902
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3307
Practice Address - Country:US
Practice Address - Phone:808-258-4973
Practice Address - Fax:808-356-1914
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 2061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily