Healthcare Provider Details

I. General information

NPI: 1477161008
Provider Name (Legal Business Name): REBECCA ALLISON PELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 ALA MOANA BLVD SPC 950
HONOLULU HI
96813-5408
US

IV. Provider business mailing address

932 WARD AVE FL 6
HONOLULU HI
96814-2131
US

V. Phone/Fax

Practice location:
  • Phone: 808-535-5555
  • Fax:
Mailing address:
  • Phone: 808-535-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-2934
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF05200311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: