Healthcare Provider Details

I. General information

NPI: 1952266298
Provider Name (Legal Business Name): HIWOT ABAYNEH CAVELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-359 HAIKU RD APT 47
KANEOHE HI
96744-4253
US

IV. Provider business mailing address

46-359 HAIKU RD APT 47
KANEOHE HI
96744-4253
US

V. Phone/Fax

Practice location:
  • Phone: 612-251-3898
  • Fax:
Mailing address:
  • Phone: 612-251-3898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-126753
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: