Provider Demographics
NPI:1689167637
Name:REASONER, SAYAKA K (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SAYAKA
Middle Name:K
Last Name:REASONER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 WILI PA LOOP, STE 7
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793
Mailing Address - Country:US
Mailing Address - Phone:808-242-1660
Mailing Address - Fax:808-242-6650
Practice Address - Street 1:270 HOOKAHI STREET
Practice Address - Street 2:STE 207
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-242-1660
Practice Address - Fax:808-242-6650
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3300363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health