Healthcare Provider Details

I. General information

NPI: 1891120911
Provider Name (Legal Business Name): BECKY ANN PAGE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 FARRINGTON HWY STE 2
KAPOLEI HI
96707-2028
US

IV. Provider business mailing address

98-351 KOAUKA LOOP APT C607
AIEA HI
96701-4452
US

V. Phone/Fax

Practice location:
  • Phone: 808-676-5331
  • Fax:
Mailing address:
  • Phone: 303-725-4334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-1614
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: