Healthcare Provider Details

I. General information

NPI: 1700559010
Provider Name (Legal Business Name): SHAY VOORHIES MSN APRN-RX AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2021
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59-563 MAKANA RD
HALEIWA HI
96712-9640
US

IV. Provider business mailing address

59-563 MAKANA RD
HALEIWA HI
96712-9640
US

V. Phone/Fax

Practice location:
  • Phone: 808-392-9032
  • Fax:
Mailing address:
  • Phone: 808-392-9032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAPRN-3135
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: