Healthcare Provider Details

I. General information

NPI: 1679305965
Provider Name (Legal Business Name): ADRIAN L AKASAKI BSN WCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

45-1040A WAILELE RD
KANEOHE HI
96744-3153
US

V. Phone/Fax

Practice location:
  • Phone: 808-214-1306
  • Fax:
Mailing address:
  • Phone: 808-377-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number2014019558
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: