Provider Demographics
NPI:1427651769
Name:DUYAO, MEYNARD L (RN)
Entity type:Individual
Prefix:
First Name:MEYNARD
Middle Name:L
Last Name:DUYAO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-228 MAKAHOU PL
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1942
Mailing Address - Country:US
Mailing Address - Phone:415-728-1833
Mailing Address - Fax:808-200-0512
Practice Address - Street 1:91-228 MAKAHOU PL
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1942
Practice Address - Country:US
Practice Address - Phone:415-728-1833
Practice Address - Fax:808-200-0512
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI002237Medicaid