Provider Demographics
NPI:1184661555
Name:BOJARSKI, HIROKO KAMEDA (ANP)
Entity Type:Individual
Prefix:
First Name:HIROKO
Middle Name:KAMEDA
Last Name:BOJARSKI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:HIROKO
Other - Middle Name:
Other - Last Name:KAMEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP
Mailing Address - Street 1:386 STANLEY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-6009
Mailing Address - Country:US
Mailing Address - Phone:508-679-5222
Mailing Address - Fax:508-673-3182
Practice Address - Street 1:400 STANLEY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-6009
Practice Address - Country:US
Practice Address - Phone:508-675-1054
Practice Address - Fax:508-324-7777
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN258346363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI27290-0OtherBCBSRI
MA3316611091OtherTRICARE
RI411650OtherBCBSBLUECHIP
MA62229OtherCHILDRENS MEDICAL SECURIT
MA0325970Medicaid
MANP4529OtherBCBSMA
MA0037973OtherNEIGHBORHOOD HEALTHPLAN
MANP4529OtherBCBSMA
MAQ12848Medicare UPIN