Provider Demographics
NPI:1558093153
Name:ABREU, RITA L (NP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:L
Last Name:ABREU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:L
Other - Last Name:ABREU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1401 S BERETANIA ST STE 888
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1871
Mailing Address - Country:US
Mailing Address - Phone:808-585-8855
Mailing Address - Fax:
Practice Address - Street 1:1401 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1870
Practice Address - Country:US
Practice Address - Phone:808-585-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI88202163W00000X
HI2022005984363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse