Healthcare Provider Details

I. General information

NPI: 1215969720
Provider Name (Legal Business Name): CAROLINE KOLEY STONER N.P.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLINE ANN KOLEY APRN, NPC

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S MARKET ST
WAILUKU HI
96793-2218
US

IV. Provider business mailing address

551 LII WAY
WAILUKU HI
96793-1540
US

V. Phone/Fax

Practice location:
  • Phone: 808-727-0900
  • Fax:
Mailing address:
  • Phone: 808-727-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1671
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: