Healthcare Provider Details

I. General information

NPI: 1235861519
Provider Name (Legal Business Name): HONOLII HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 ULULANI ST
HILO HI
96720-3982
US

IV. Provider business mailing address

891 ULULANI ST
HILO HI
96720-3982
US

V. Phone/Fax

Practice location:
  • Phone: 808-930-0777
  • Fax:
Mailing address:
  • Phone: 808-930-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA LEILANI GARNETT
Title or Position: SOLE PROPRIETOR
Credential: DNP
Phone: 808-217-2513