Individual provider · Type 1 NPI
Markjason Tabudlo Cabudol, DNP, APRN, AGPCNP-BC
Gerontology Nurse Practitioner · Waianae, HI
NPI number
1790592913
Active
Practice location
86-260 Farrington Hwy
Waianae, HI 96792-3128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN-125296 (HI) |
| Registered Nurse | 163W00000X | RN61347958 (WA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN-5385 (HI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1790592913
Markjason Tabudlo Cabudol, DNP, APRN, AGPCNP-BC's National Provider Identifier is 1790592913, issued on Dec 11, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waianae, HI. The record was last updated on Aug 8, 2025.