Healthcare Provider Details

I. General information

NPI: 1235807223
Provider Name (Legal Business Name): SARA KUARTEI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1247 KAAHUMANU ST
AIEA HI
96701-5311
US

IV. Provider business mailing address

98-1247 KAAHUMANU ST
AIEA HI
96701-5311
US

V. Phone/Fax

Practice location:
  • Phone: 808-221-1876
  • Fax:
Mailing address:
  • Phone: 808-221-1876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-5177
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: