Provider Demographics
NPI:1144992710
Name:IZWERIW, ADRIAN (DNP, APRN-RX)
Entity type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:IZWERIW
Suffix:
Gender:M
Credentials:DNP, APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59-233 KE NUI RD
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-9666
Mailing Address - Country:US
Mailing Address - Phone:808-636-4980
Mailing Address - Fax:
Practice Address - Street 1:59-233 KE NUI RD
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-9666
Practice Address - Country:US
Practice Address - Phone:808-636-4980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3348-0207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine