ANTONE TAVARES IV
NPI 1366296105
Registered Nurse - Psychiatric/Mental Health, Adult in Honolulu, HI
Active since April 17, 2024
About Antone Tavares Iv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONE TAVARES IV (NPI 1366296105) is an individual psychiatric/mental health, adult provider in Honolulu, Hawaii, licensed in Hawaii (62340) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1366296105
Entity TypeIndividualMale
Primary Taxonomy163WP0809X
Provider Legal NameANTONE TAVARES IV
Location Address459 PATTERSON RDHonolulu, HI 96819-1522
Mailing Address459 Patterson Rd # 3b2Honolulu, HI 96819-1522 · (808) 433-0320
Phone(808) 433-0320
Sole ProprietorYes
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1366296105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in HI · 62340
459 PATTERSON RD, Honolulu, HI 96819
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (General Practice)
459 PATTERSON RD, DENTAL SERVICE (160)
HONOLULU, HI 96819
HONOLULU, HI 96819
Registered Nurse (Women's Health Care, Ambulatory)
459 PATTERSON RD
HONOLULU, HI 96819
HONOLULU, HI 96819
Internal Medicine (Geriatric Medicine)
459 PATTERSON RD, (CFA)
HONOLULU, HI 96819
HONOLULU, HI 96819
Registered Nurse (Administrator)
459 PATTERSON RD
HONOLULU, HI 96819
HONOLULU, HI 96819
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366296105, enumerated as an "individual" on April 17, 2024.
The provider is located at 459 PATTERSON RD HONOLULU, HI 96819 and the phone number is (808) 433-0320.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.