Provider Demographics
NPI:1457593097
Name:NEVES, ABBIE JOAN (PHD, APRN-RX)
Entity Type:Individual
Prefix:DR
First Name:ABBIE
Middle Name:JOAN
Last Name:NEVES
Suffix:
Gender:F
Credentials:PHD, APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1654
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-1654
Mailing Address - Country:US
Mailing Address - Phone:808-554-9494
Mailing Address - Fax:808-239-6514
Practice Address - Street 1:91-1841 FORT WEAVER RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1909
Practice Address - Country:US
Practice Address - Phone:808-554-9494
Practice Address - Fax:800-556-6891
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 57434163W00000X
HIAPRN 1046364SP0807X, 364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No163W00000XNursing Service ProvidersRegistered Nurse