Provider Demographics
NPI:1235798539
Name:NAONE, JUANITA MILAN
Entity Type:Individual
Prefix:
First Name:JUANITA
Middle Name:MILAN
Last Name:NAONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 PUNA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1518
Mailing Address - Country:US
Mailing Address - Phone:808-595-0205
Mailing Address - Fax:808-595-0205
Practice Address - Street 1:2020 PUNA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1518
Practice Address - Country:US
Practice Address - Phone:808-595-0205
Practice Address - Fax:808-595-0205
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI000005608376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide