Healthcare Provider Details

I. General information

NPI: 1922554211
Provider Name (Legal Business Name): NPHOUSECALL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 08/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 LII WAY
WAILUKU HI
96793-1540
US

IV. Provider business mailing address

PO BOX 989
WAILUKU HI
96793-0989
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 NumberAPRN-1671
License Number StateHI

VIII. Authorized Official

Name: CAROLINE KOLEY STONER
Title or Position: EXECUTIVE DIRECTOR, PROVIDER
Credential:
Phone: 808-727-0900