Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa Manreal Bolo, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023882081

Carissa Manreal Bolo, NURSEPRACTITIONER is a Nurse Practitioner in Ewa Beach, Hawaii. Qualified in 2023, 3 years ago. Practices with Integrated Care LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
3
Licensed in
HI
In the registry since
2023

Practice location Address checks out

91-1030 Hokua Pl
Ewa Beach, HI 96706-4899
Phone: (808) 382-2276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-4297 (HI)

Record details

NPI number1023882081
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integrated Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ewa Beach