Provider Demographics
NPI:1194389940
Name:YACAVONE, SHARMAINE HEALOHA (RN)
Entity Type:Individual
Prefix:
First Name:SHARMAINE
Middle Name:HEALOHA
Last Name:YACAVONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-118 LOKALIA PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3730
Mailing Address - Country:US
Mailing Address - Phone:808-392-0832
Mailing Address - Fax:
Practice Address - Street 1:95-118 LOKALIA PL
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3730
Practice Address - Country:US
Practice Address - Phone:808-392-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI88147163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool