IndividualActive
Jane Idica
NPI 1053049346 · Case Management Registered Nurse · Pearl Harbor, HI
Provider details
- NPI number
- 1053049346
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 41327 (HI)
Specialties & taxonomies
Nursing Service Providers
Practice location
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 674-7819
Approximate (ZIP-level) locationGet directions
Mailing address
480 Central Ave
Pearl Harbor, HI 96860-4908
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-30
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.