Healthcare Provider Details

I. General information

NPI: 1871210245
Provider Name (Legal Business Name): CONNECTIONS WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/19/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W HIND DR STE 114
HONOLULU HI
96821-1845
US

IV. Provider business mailing address

850 W HIND DR STE 114
HONOLULU HI
96821-1845
US

V. Phone/Fax

Practice location:
  • Phone: 808-784-0007
  • Fax:
Mailing address:
  • Phone: 808-784-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEE AUSTIN
Title or Position: OWNER, CLINICIAN
Credential: CRNA, APRN
Phone: 707-337-2469