Healthcare Provider Details

I. General information

NPI: 1841178001
Provider Name (Legal Business Name): PRINCESS MAE ASHBY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 KILAUEA AVE STE 7
HONOLULU HI
96816-5712
US

IV. Provider business mailing address

94-1055 KEAHUA LOOP
WAIPAHU HI
96797-5422
US

V. Phone/Fax

Practice location:
  • Phone: 808-808-1324
  • Fax: 808-808-1324
Mailing address:
  • Phone: 808-450-9194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-5372
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: