IndividualActive
Alyssa Marie Tagata
NPI 1295399103 · Licensed Practical Nurse · Ewa Beach, HI
Provider details
- NPI number
- 1295399103
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18962 (HI)
Specialties & taxonomies
Nursing Service Providers
Practice location
91-213 Kaieleele Pl
Ewa Beach, HI 96706-4617
Phone: (808) 238-9011
Approximate (ZIP-level) locationGet directions
Mailing address
91-213 Kaieleele Pl
Ewa Beach, HI 96706-4617
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.