Provider Demographics
NPI:1255385340
Name:HITOSIS, KEVIN GUARINO (MSN, APRN, BC)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:GUARINO
Last Name:HITOSIS
Suffix:
Gender:M
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VETERANS CLINIC, USNH GUAM,
Mailing Address - Street 2:BLDG. E-200
Mailing Address - City:AGANA HEIGHTS
Mailing Address - State:GU
Mailing Address - Zip Code:96919
Mailing Address - Country:US
Mailing Address - Phone:671-344-9092
Mailing Address - Fax:
Practice Address - Street 1:VA CLINIC US NAVAL HOSPITAL
Practice Address - Street 2:BUILDING 1, E-200
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GU
Practice Address - Zip Code:96919
Practice Address - Country:US
Practice Address - Phone:671-344-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUNP0080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily