Healthcare Provider Details

I. General information

NPI: 1811387707
Provider Name (Legal Business Name): DEBRAH ANN TRANKEL RNC, MSN,IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST TOWER 10 PP/NSY
HONOLULU HI
96813-2402
US

IV. Provider business mailing address

1301 PUNCHBOWL ST TOWER 10 PP/NSY
HONOLULU HI
96813-2402
US

V. Phone/Fax

Practice location:
  • Phone: 808-691-2131
  • Fax: 808-691-7895
Mailing address:
  • Phone: 808-691-2131
  • Fax: 808-691-7895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number29220
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: