Provider Demographics
NPI:1578364378
Name:TUGAS, JUN LYNARD TOMAS (APRN-RX)
Entity type:Individual
Prefix:
First Name:JUN LYNARD
Middle Name:TOMAS
Last Name:TUGAS
Suffix:
Gender:
Credentials:APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 GULICK AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4513
Mailing Address - Country:US
Mailing Address - Phone:808-746-9986
Mailing Address - Fax:808-746-9983
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1956
Practice Address - Country:US
Practice Address - Phone:808-746-9986
Practice Address - Fax:808-746-9983
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily