Provider Demographics
NPI:1194349282
Name:TUVAKO, RICHARD ELINIHAKI (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ELINIHAKI
Last Name:TUVAKO
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MARSHALL ST APT 6H
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-8626
Mailing Address - Country:US
Mailing Address - Phone:973-760-2379
Mailing Address - Fax:
Practice Address - Street 1:14 MARSHALL ST APT 6H
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-8626
Practice Address - Country:US
Practice Address - Phone:973-760-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01036500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty