Healthcare Provider Details

I. General information

NPI: 1700544251
Provider Name (Legal Business Name): ADAURE EZINNE DAWSON LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. ADAURE EZINNE OJUKWU

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1843 LILIHA ST APT A
HONOLULU HI
96817-2368
US

IV. Provider business mailing address

1843 LILIHA ST APT A
HONOLULU HI
96817-2368
US

V. Phone/Fax

Practice location:
  • Phone: 518-894-3297
  • Fax:
Mailing address:
  • Phone: 518-894-3297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW33
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: