Provider Demographics
NPI:1457163867
Name:CABUSAS, ANGELINA DINGLE (PMHNP)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:DINGLE
Last Name:CABUSAS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:OCAN
Other - Last Name:DINGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP
Mailing Address - Street 1:1021 6TH AVE APT A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1649
Mailing Address - Country:US
Mailing Address - Phone:808-497-4311
Mailing Address - Fax:
Practice Address - Street 1:806 IWILEI RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5016
Practice Address - Country:US
Practice Address - Phone:808-556-2951
Practice Address - Fax:808-650-2958
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-5007363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty