Healthcare Provider Details

I. General information

NPI: 1053287730
Provider Name (Legal Business Name): NAOMI BROWN RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92-5019 LIMUKELE ST
KAPOLEI HI
96707-2358
US

IV. Provider business mailing address

92-5019 LIMUKELE ST
KAPOLEI HI
96707-2358
US

V. Phone/Fax

Practice location:
  • Phone: 808-292-8773
  • Fax:
Mailing address:
  • Phone: 808-292-8773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number66641
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: