Healthcare Provider Details

I. General information

NPI: 1295646420
Provider Name (Legal Business Name): SHELLA YONEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 KAPIOLANI BLVD APT 306
HONOLULU HI
96814-4706
US

IV. Provider business mailing address

1617 KAPIOLANI BLVD APT 306
HONOLULU HI
96814-4706
US

V. Phone/Fax

Practice location:
  • Phone: 206-915-0084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: