Provider Demographics
NPI:1548988512
Name:SALVACION, HANIELYN C (RN)
Entity type:Individual
Prefix:
First Name:HANIELYN
Middle Name:C
Last Name:SALVACION
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-112 OLOPANA ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3903
Mailing Address - Country:US
Mailing Address - Phone:808-492-7935
Mailing Address - Fax:
Practice Address - Street 1:910 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2154
Practice Address - Country:US
Practice Address - Phone:808-453-6236
Practice Address - Fax:808-622-5189
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-82992163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health