Provider Demographics
NPI:1265753826
Name:CANIDA, PRINCESS BAUTISTA-MONTEREY (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:BAUTISTA-MONTEREY
Last Name:CANIDA
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7549
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-8946
Mailing Address - Country:US
Mailing Address - Phone:808-935-2389
Mailing Address - Fax:
Practice Address - Street 1:868 ULULANI ST STE 108
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3913
Practice Address - Country:US
Practice Address - Phone:808-935-2389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-5562363LF0000X
HIRN-75756163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn