MEDICARE: KARI WHEELING APRN

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	69359	HI
2	374J00000X	Doula		HI
3	363LF0000X	Family Nurse Practitioner	3061	HI

General Provider Information

NPI Number	:	1336486380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI WHEELING APRN

Provider Business Mailing Address
First Line	:	245 N KUKUI ST STE 102A
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-3921
Country	:	US
Telephone Number	:	808-737-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 N KUKUI ST STE 102A
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-3921
Country	:	US
Telephone Number	:	808-737-5805
Fax Number	:

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

Provider Enumeration Date	:	01/10/2013
Last Update Date	:	08/21/2023

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Directions to “ KARI WHEELING APRN” Practice Location

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