Healthcare Provider Details

I. General information

NPI: 1033098058
Provider Name (Legal Business Name): LAURA BRANSTETTER MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2413
US

V. Phone/Fax

Practice location:
  • Phone: 208-720-9592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN5522
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: