Provider Demographics
NPI:1528503232
Name:PADILLA, MARINA B (APRN)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:B
Last Name:PADILLA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARINA
Other - Middle Name:M
Other - Last Name:O'BRIEN-GAMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 6065
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:HI
Mailing Address - Zip Code:96737-6065
Mailing Address - Country:US
Mailing Address - Phone:808-939-8100
Mailing Address - Fax:808-829-3672
Practice Address - Street 1:92-8691 LOTUS BLOSSOM LANE
Practice Address - Street 2:6-7
Practice Address - City:OCEAN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96737-6065
Practice Address - Country:US
Practice Address - Phone:808-939-8100
Practice Address - Fax:808-829-3672
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2219363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health