Provider Demographics
NPI:1457977548
Name:YAO, VICTORIA MONIQUE (FNP-C, APRN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MONIQUE
Last Name:YAO
Suffix:
Gender:F
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-285 HUI IWA ST APT B
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4392
Mailing Address - Country:US
Mailing Address - Phone:808-372-2557
Mailing Address - Fax:
Practice Address - Street 1:98-1079 MOANALUA RD STE 500
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4794
Practice Address - Country:US
Practice Address - Phone:808-488-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAPRN-2952OtherHAWAII BOARD OF NURSING
HIRN-68086OtherHAWAII BOARD OF NURSING