Healthcare Provider Details

I. General information

NPI: 1356214704
Provider Name (Legal Business Name): OHANA MANA NETWORK FOR NEUROMETABOLIC WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 NUUANU AVE APT 1237
HONOLULU HI
96817-3713
US

IV. Provider business mailing address

1309 COFFEEN AVE STE 1200
SHERIDAN WY
82801-5777
US

V. Phone/Fax

Practice location:
  • Phone: 808-295-4021
  • Fax: 808-666-9212
Mailing address:
  • Phone: 307-335-4968
  • Fax: 307-312-3277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY HOKE
Title or Position: FOUNDER, CEO, MEDICAL DIRECTOR
Credential: DNP, APRN-RX, AGACNP
Phone: 307-335-4968