Provider Demographics
NPI:1477781227
Name:PINEDA, MARIA J (MSN-APN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:J
Last Name:PINEDA
Suffix:
Gender:F
Credentials:MSN-APN
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:J
Other - Last Name:FAJARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:677 ALA MOANA BLVD STE 1001
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5408
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-536-7315
Practice Address - Street 1:3001 BOXER RD
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2103
Practice Address - Country:US
Practice Address - Phone:808-861-6834
Practice Address - Fax:808-536-7315
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN1627363LF0000X
NV001110363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner