Darylle Dave Rebano Agustin
Nurse's Aide in Pearl City, HI. Individual provider (NPI-1).
NPI number1982123956
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982123956
- Entity type
- Individual (NPI-1)
- Name
- Darylle Dave Rebano Agustin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 1170030 | HI | Yes |
Practice location
1108 Noelani StPearl City, HI 96782-2932
Phone 808-724-1338 · Fax 808-200-5211
Mailing address
1108 Noelani StPearl City, HI 96782-2932
Phone 808-724-1338 · Fax 808-200-5211
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