DR. BEVERLY LAURON GABOYA INOCENCIO ACNP-BC CCRN CEN NPI 1750635371

NPI Information

NPI: 1750635371
Provider Name: DR. BEVERLY LAURON GABOYA INOCENCIO, ACNP-BC, CCRN, CEN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1301 PUNCHBOWL ST
EMERGENCY DEPARTMENT
HONOLULU, HI
ZIP 96813
Phone: (808) 551-6782
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DR. Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN is an acute care nurse practitioner in Honolulu, HI. DR. Beverly Lauron Gaboya Inocencio, ACNP-BC, CCRN, CEN NPI is 1750635371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 PUNCHBOWL ST
EMERGENCY DEPARTMENT
HONOLULU, HI
ZIP 96813-402
Phone: (808) 551-6782

The NPI 1750635371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2012 and was last updated on 11/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	639381	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	1601	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1601	OTHER	HAWAII	HAWAII APRN-RX LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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