Provider Demographics
NPI:1083437453
Name:PRONESTI, DENISE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:PRONESTI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:HODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:91-018 PARISH DR
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2514
Mailing Address - Country:US
Mailing Address - Phone:209-747-0246
Mailing Address - Fax:000-000-1234
Practice Address - Street 1:91-018 PARISH DR
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2514
Practice Address - Country:US
Practice Address - Phone:209-747-0246
Practice Address - Fax:000-000-1234
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-111363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health