MEDICARE: NATALIE MEALANI ANDERSON NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN 67521	HI
2	363LF0000X	Family Nurse Practitioner	1547	HI
3	363LF0000X	Family Nurse Practitioner	APRN 1547	HI

General Provider Information

NPI Number	:	1205175064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MEALANI ANDERSON NP-C

Provider Business Mailing Address
First Line	:	4391 KAHALA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-4854
Country	:	US
Telephone Number	:	808-551-9606
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 KALAKAUA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-2351
Country	:	US
Telephone Number	:	808-922-8790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	07/21/2022

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