Provider Demographics
NPI:1740986272
Name:MONTIHO, ALEXIS (RN-BC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MONTIHO
Suffix:
Gender:F
Credentials:RN-BC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:MICHELLE
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BC
Mailing Address - Street 1:1221 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4289
Mailing Address - Country:US
Mailing Address - Phone:808-224-0836
Mailing Address - Fax:
Practice Address - Street 1:1221 17TH AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4289
Practice Address - Country:US
Practice Address - Phone:808-224-0836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI75498163W00000X
HI3972363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse