Healthcare Provider Details

I. General information

NPI: 1760536502
Provider Name (Legal Business Name): NATIVIDAD CAMIT HOPEWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 12/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56-565 KAMEHAMEHA HWY
KAHUKU HI
96731-0395
US

IV. Provider business mailing address

56-119 PUALALEA ST
KAHUKU HI
96731-2052
US

V. Phone/Fax

Practice location:
  • Phone: 808-293-9216
  • Fax:
Mailing address:
  • Phone: 808-293-9231
  • Fax: 808-293-1511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number320
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: