Healthcare Provider Details

I. General information

NPI: 1679032320
Provider Name (Legal Business Name): AURELIA PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 10802
HILO HI
96721-5802
US

IV. Provider business mailing address

PO BOX 10802
HILO HI
96721-5802
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5026
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2624
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: