Healthcare Provider Details

I. General information

NPI: 1316841661
Provider Name (Legal Business Name): NENE AMINATA FROST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NENE AMINATA BAH

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WAIANUENUE AVE STE 209
HILO HI
96720-2489
US

IV. Provider business mailing address

214 WAIANUENUE AVE STE 209
HILO HI
96720-2489
US

V. Phone/Fax

Practice location:
  • Phone: 808-961-7001
  • Fax: 808-961-7099
Mailing address:
  • Phone: 808-961-7001
  • Fax: 808-961-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: