Provider Demographics
NPI:1316584584
Name:CAMIT, MELIROSE JOGNO
Entity Type:Individual
Prefix:
First Name:MELIROSE
Middle Name:JOGNO
Last Name:CAMIT
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 1:91-1306 IMELDA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-1918
Mailing Address - Country:US
Mailing Address - Phone:808-546-9965
Mailing Address - Fax:
Practice Address - Street 1:91-1306 IMELDA ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1918
Practice Address - Country:US
Practice Address - Phone:808-546-9965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-93002163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool