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General NPI Number Information
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NPI Number | 1720069412
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Entity Type | Individual
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Provider Name | NANCY JEANETTE SMILEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 230
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-536-9367
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Fax | 808-536-9369
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Provider Business Mailing Address
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Address Line | WATERFRONT PLAZA, TOWER SEVEN 500 ALA MOANA BLVD STE 230
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City | HONOLULU
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State | HI
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Zip | 96813-4920
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Country | US
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Telephone | 808-536-9367
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Fax | 808-536-9369
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12207
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License Number State | HI
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