Healthcare Provider Details

I. General information

NPI: 1902881410
Provider Name (Legal Business Name): VALERIE FOREE APRN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 01/20/2020
Certification Date: 01/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 KAILUA RD
KAILUA HI
96734-2839
US

IV. Provider business mailing address

609 KAILUA RD
KAILUA HI
96734-2839
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-8537
  • Fax:
Mailing address:
  • Phone: 808-261-8537
  • Fax: 808-922-4950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number038052922
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-595
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: