Provider Demographics
NPI:1710691092
Name:ABARO, PAOLA (APRN)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:ABARO
Suffix:
Gender:F
Credentials:APRN
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 190871
Mailing Address - Street 2:
Mailing Address - City:HAWI
Mailing Address - State:HI
Mailing Address - Zip Code:96719-0782
Mailing Address - Country:US
Mailing Address - Phone:323-333-0616
Mailing Address - Fax:
Practice Address - Street 1:65-1305 KAWAIHAE RD UNIT B11
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7545
Practice Address - Country:US
Practice Address - Phone:323-333-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3877363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily