Individual
DR. BEVERLY LAURON GABOYA INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC, CCRN, CEN
Contact information
Practice address
1301 PUNCHBOWL ST, EMERGENCY DEPARTMENT, HONOLULU, HI 96813-2402
(808) 551-6782
Mailing address
770 KAPIOLANI BLVD, SUITE 705, HONOLULU, HI 96813-5212
(808) 551-6782
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1601
HI
363LA2100X
Acute Care Nurse Practitioner
639381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601
HAWAII APRN-RX LICENSE
HI
Enumeration date
11/05/2012
Last updated
11/30/2015
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