Provider Demographics
NPI:1578244745
Name:CARINIO, PRIMA (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:PRIMA
Middle Name:
Last Name:CARINIO
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 1:91-1304 KILIPUE ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4488
Mailing Address - Country:US
Mailing Address - Phone:808-372-3278
Mailing Address - Fax:
Practice Address - Street 1:91-1304 KILIPUE ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4488
Practice Address - Country:US
Practice Address - Phone:808-372-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4155363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner