Healthcare Provider Details

I. General information

NPI: 1619997475
Provider Name (Legal Business Name): JOANNE B AMBERG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N KING ST
HONOLULU HI
96817-4544
US

IV. Provider business mailing address

915 N KING ST
HONOLULU HI
96817-4544
US

V. Phone/Fax

Practice location:
  • Phone: 808-848-1438
  • Fax: 808-843-7270
Mailing address:
  • Phone: 808-848-1438
  • Fax: 808-843-7270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN-82
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN-82
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: