Provider Demographics
NPI:1134996689
Name:GAMBINO, NOEMI OVIEDO (RN)
Entity type:Individual
Prefix:
First Name:NOEMI
Middle Name:OVIEDO
Last Name:GAMBINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:NOEMI
Other - Middle Name:OVIEDO
Other - Last Name:OVIEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94-1069 LELEHU ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4905
Mailing Address - Country:US
Mailing Address - Phone:808-372-1687
Mailing Address - Fax:
Practice Address - Street 1:480 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PEARL HARBOR
Practice Address - State:HI
Practice Address - Zip Code:96860-4908
Practice Address - Country:US
Practice Address - Phone:808-372-1687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI53884163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency