Provider Demographics
NPI:1336508563
Name:ARZAGA, NOEMI (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:ARZAGA
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 MELE MANU ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-1794
Mailing Address - Country:US
Mailing Address - Phone:808-935-7680
Mailing Address - Fax:808-974-6864
Practice Address - Street 1:1190 WAIANUENUE AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2089
Practice Address - Country:US
Practice Address - Phone:808-932-3590
Practice Address - Fax:808-974-6864
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN2059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily