MEDICARE: JENNIE MARIE SEKIYA CRNA

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	367500000X	Certified Registered Nurse Anesthetist	4704225909	MI
2	367500000X	Certified Registered Nurse Anesthetist	APRN-3531	HI

General Provider Information

NPI Number	:	1578543286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIE MARIE SEKIYA CRNA

Provider Business Mailing Address
First Line	:	55 MERCHANT ST FL 22
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-4333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 S KING ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3097
Country	:	US
Telephone Number	:	808-522-4000
Fax Number	:

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/28/2023

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Directions to “ JENNIE MARIE SEKIYA CRNA” Practice Location

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