Healthcare Provider Details

I. General information

NPI: 1518213305
Provider Name (Legal Business Name): RACHELLE LEILANI NAOKO HALL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 07/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

325 ANOLANI ST
HONOLULU HI
96821-2030
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-4221
  • Fax:
Mailing address:
  • Phone: 808-954-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number57416
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: