Individual provider · Type 1 NPI

Antone Tavares Iv

Adult Psychiatric/Mental Health Registered Nurse · Honolulu, HI

NPI number 1366296105 Active

Practice location

459 Patterson Rd
Honolulu, HI 96819-1522

Call (808) 433-0320 Map

Mailing address

459 Patterson Rd # 3B2
Honolulu, HI 96819-1522

Specialties and licenses

Taxonomy	Code	License
Adult Psychiatric/Mental Health Registered Nurse Primary	163WP0809X	62340 (HI)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1366296105

Antone Tavares Iv's National Provider Identifier is 1366296105, issued on Apr 17, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Honolulu, HI. The record was last updated on Apr 17, 2024.