IndividualActive
Tia Hurtado
NPI 1114635810 · Technician · Wahiawa, HI
Provider details
- NPI number
- 1114635810
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21-160743 (HI)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1136 California Ave
Wahiawa, HI 96786-2343
Phone: (808) 622-6432
Approximate (ZIP-level) locationGet directions
Mailing address
1136 California Ave
Wahiawa, HI 96786-2343
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.