Healthcare Provider Details

I. General information

NPI: 1679590343
Provider Name (Legal Business Name): CONSTANCE P HASTINGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TAMC HI
96859-5001
US

IV. Provider business mailing address

945 KEALAOLU AVE
HONOLULU HI
96816-5439
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6407
  • Fax:
Mailing address:
  • Phone: 808-735-4520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD8882
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD8882
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: