Healthcare Provider Details

I. General information

NPI: 1205380771
Provider Name (Legal Business Name): SARAH ASHLEY GELB NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 08/12/2016
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

PO BOX 17460
HONOLULU HI
96817-0460
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-2078
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: