Healthcare Provider Details

I. General information

NPI: 1245947167
Provider Name (Legal Business Name): HALEY BUJWID APRN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 AULIKE ST STE 500
KAILUA HI
96734-2752
US

IV. Provider business mailing address

600 ALA MOANA BLVD APT 3305
HONOLULU HI
96813-4968
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-8822
  • Fax:
Mailing address:
  • Phone: 860-573-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number3848
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: