| Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR | |
|
99-115 Aiea Heights Dr Ste 276, Aiea, HI 96701-3967 | |
| (808) 784-3050 | |
| Not Available |
| Full Name | Nicole Yazdanpour |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 99-115 Aiea Heights Dr Ste 276, Aiea, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417669532 | NPI | - | NPPES |
| 1417669532 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | RN-71056 (Hawaii) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN-3954 (Hawaii) | Primary |
| Entity Name | Pali Momi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275588329 PECOS PAC ID: 6406746916 Enrollment ID: O20040318000395 |
| Entity Name | Pacific Vascular Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275167348 PECOS PAC ID: 2365852381 Enrollment ID: O20201103001713 |
| Entity Name | Pacific Vascular Institute-kona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720697931 PECOS PAC ID: 2769893353 Enrollment ID: O20201203001506 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR 91-1062 Kaunoa St, Ewa Beach, HI 96706-3530 Ph: (808) 429-4943 | Nicole Yazdanpour, AGACNP-BC,RNFA, CNOR 99-115 Aiea Heights Dr Ste 276, Aiea, HI 96701-3967 Ph: (808) 784-3050 |
Jenina Joyce Pascua Pali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98-1079 Moanalua Rd Ste 350, Aiea, HI 96701 Phone: 808-207-9355 | |
Charlotte Nakanishi Yuen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99-902 Moanalva Road, Halawa Correctional Facility, Aiea, HI 96701 Phone: 808-484-5426 Fax: 808-484-6955 | |
Dr. Seiichi Nakamura, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98-1005 Moanalua Rd, Aiea, HI 96701 Phone: 808-488-0958 | |
Kristina Marie Virata Halloran, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 Phone: 808-487-7938 | |
Tiffany Takushi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98-1005 Moanalua Rd, #400, Aiea, HI 96701 Phone: 866-389-2727 | |
Jeanne Nicole Marie Robertson-leong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98-023 Hekaha St Ste 207, Aiea, HI 96701 Phone: 808-620-8998 | |
Mrs. Marianela Ruiz Jacob, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98-025 Hekaha St Ste 4, Bldg 4, Aiea, HI 96701 Phone: 808-488-9449 |