Healthcare Provider Details

I. General information

NPI: 1295630291
Provider Name (Legal Business Name): CLAIRE MADDUX DNP, FNP - C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

970 N KALAHEO AVE STE C306
KAILUA HI
96734-1873
US

IV. Provider business mailing address

566 OHANA NUI CIR
HONOLULU HI
96818-4425
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-7383
  • Fax:
Mailing address:
  • Phone: 913-775-2008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-6167
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: