Provider Demographics
NPI:1235209263
Name:OKA, MARIA CECILA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CECILA
Last Name:OKA
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 1:78-6831 ALI'I DRIVE
Mailing Address - Street 2:SUITE 328
Mailing Address - City:KAILUA-KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740
Mailing Address - Country:US
Mailing Address - Phone:808-747-8321
Mailing Address - Fax:808-331-8682
Practice Address - Street 1:78-6831 ALI'I DRIVE
Practice Address - Street 2:SUITE 422
Practice Address - City:KAILUA-KONA
Practice Address - State:HI
Practice Address - Zip Code:96740
Practice Address - Country:US
Practice Address - Phone:808-747-8321
Practice Address - Fax:808-323-2119
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1163363LF0000X
HIRN55007363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7135429Medicaid
WA7135429Medicaid
WA8868503Medicare PIN
WAG8860410Medicare PIN
CD641ZMedicare PIN