Provider Demographics
NPI:1588804918
Name:TAMARIBUCHI, JOY (PNP-BC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:TAMARIBUCHI
Suffix:
Gender:F
Credentials:PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:KEKAHA
Mailing Address - State:HI
Mailing Address - Zip Code:96752-0430
Mailing Address - Country:US
Mailing Address - Phone:808-652-2975
Mailing Address - Fax:
Practice Address - Street 1:4-1558 KUHIO HWY
Practice Address - Street 2:2401 E STREET, NW
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1856
Practice Address - Country:US
Practice Address - Phone:808-822-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily