Healthcare Provider Details

I. General information

NPI: 1619423761
Provider Name (Legal Business Name): MELISSA NOELANI NIP KONO APRN-RX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA NOELANI NIP APRN-RX

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST ENDOCRINOLOGY DEPARTMENT
HONOLULU HI
96813
US

IV. Provider business mailing address

888 S KING ST ENDOCRINOLOGY DEPARTMENT
HONOLULU HI
96813
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 808-522-4344
  • Fax: 808-522-3336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-2156
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: