Provider Demographics
NPI:1821516618
Name:TAKATANI-APO, TANYA (APRN RX)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:TAKATANI-APO
Suffix:
Gender:F
Credentials:APRN RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 ONAHA ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2711
Mailing Address - Country:US
Mailing Address - Phone:808-214-7411
Mailing Address - Fax:808-873-6656
Practice Address - Street 1:472 KAULANA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2050
Practice Address - Country:US
Practice Address - Phone:808-214-7411
Practice Address - Fax:808-873-6656
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2310363LF0000X
HIAPRN-2310363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily