Provider Demographics
NPI:1821280942
Name:TROMPETA, JOYCE AGNES (RN, MS, PNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:AGNES
Last Name:TROMPETA
Suffix:
Gender:F
Credentials:RN, MS, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MAUNA KEA STREET
Mailing Address - Street 2:CURTIS W. LEE, MD, INC
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-961-6655
Mailing Address - Fax:808-935-5680
Practice Address - Street 1:24 MAUNA KEA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3875
Practice Address - Country:US
Practice Address - Phone:808-961-6655
Practice Address - Fax:808-935-5680
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10213363LP0200X
HI601363LP0200X
CA378731364SP0200X
HI50318364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics