Provider Demographics
NPI:1881826386
Name:KAWAA, PATRICIA JOAN (RN, APRN, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JOAN
Last Name:KAWAA
Suffix:
Gender:F
Credentials:RN, APRN, LCSW
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:JOAN
Other - Last Name:KILINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1324 HUMUULA STREET
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-372-1659
Mailing Address - Fax:
Practice Address - Street 1:1324 HUMUULA STREET
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-372-1659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN14792163W00000X
HIAPRN56364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse