Healthcare Provider Details

I. General information

NPI: 1316609308
Provider Name (Legal Business Name): VICTORIA N SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 S KING ST STE 1555
HONOLULU HI
96814-2073
US

IV. Provider business mailing address

2022 OHAI LN
HONOLULU HI
96813-1528
US

V. Phone/Fax

Practice location:
  • Phone: 808-683-2367
  • Fax:
Mailing address:
  • Phone: 703-232-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: