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General NPI Number Information
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NPI Number | 1578559571
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Entity Type | Individual
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Provider Name | DIANE NOELANI KIILEHUA NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2005
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 937 FRANKLIN BLVD
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City | LEMOORE
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State | CA
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Zip | 93246-4908
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Country | US
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Telephone | 559-998-4712
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 ALOHA AVE
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City | PEARL CITY
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State | HI
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Zip | 96782-3431
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Country | US
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Telephone | 808-741-6679
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 50730
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CA95000149
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License Number State | CA
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