Provider Demographics
NPI:1184922783
Name:HOE, BRITTNI KIMIE PERALTO (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:KIMIE PERALTO
Last Name:HOE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTNI
Other - Middle Name:K
Other - Last Name:PERALTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1401 S BERETANIA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1870
Mailing Address - Country:US
Mailing Address - Phone:808-356-5699
Mailing Address - Fax:808-356-5698
Practice Address - Street 1:1401 S BERETANIA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1870
Practice Address - Country:US
Practice Address - Phone:808-356-5699
Practice Address - Fax:808-356-5698
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD-425363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant