Healthcare Provider Details

I. General information

NPI: 1760595292
Provider Name (Legal Business Name): ANN M COX APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 02/25/2023
Certification Date: 02/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5751 KUAKINI HWY
KAILUA KONA HI
96740-1752
US

IV. Provider business mailing address

73-1281 AWAKEA ST
KAILUA KONA HI
96740-9571
US

V. Phone/Fax

Practice location:
  • Phone: 808-326-5629
  • Fax:
Mailing address:
  • Phone: 970-413-3776
  • Fax: 833-536-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0003922-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: