Provider Demographics
NPI:1902471485
Name:DAMASO, EVA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:EVA MARIE
Middle Name:
Last Name:DAMASO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2123
Mailing Address - Country:US
Mailing Address - Phone:808-621-7772
Mailing Address - Fax:
Practice Address - Street 1:925 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2123
Practice Address - Country:US
Practice Address - Phone:808-621-7772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847565163W00000X
HIRN-101796163W00000X
CA95016521363LF0000X
HIAPRN-3326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse