Healthcare Provider Details

I. General information

NPI: 1871649178
Provider Name (Legal Business Name): RACHEL HARUE BINGUE WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54-237 KAMEHAMEHA HWY
HAUULA HI
96717-9522
US

IV. Provider business mailing address

54-237 KAMEHAMEHA HWY
HAUULA HI
96717-9522
US

V. Phone/Fax

Practice location:
  • Phone: 808-655-4115
  • Fax:
Mailing address:
  • Phone: 808-293-5777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN 291
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN 110263
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN 00459
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: