Healthcare Provider Details

I. General information

NPI: 1720483118
Provider Name (Legal Business Name): MEALANI RAHMER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 07/21/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16-1683 OO AA RD
KURTISTOWN HI
96760
US

IV. Provider business mailing address

PO BOX 1464
KURTISTOWN HI
96760-1464
US

V. Phone/Fax

Practice location:
  • Phone: 808-987-6440
  • Fax:
Mailing address:
  • Phone: 808-987-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3085680
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number264
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: