MEDICARE: HOPENA HEALTH LLC

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	363LF0000X	Family Nurse Practitioner	2209	HI

General Provider Information

NPI Number	:	1700396991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPENA HEALTH LLC

Provider Business Mailing Address
First Line	:	91-1078 PAAPAANA ST
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-5632
Country	:	US
Telephone Number	:	808-276-7223
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1078 PAAPAANA ST
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-5632
Country	:	US
Telephone Number	:	808-276-7223
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MRS. MICHELLE KIM WEST
Credential	:	FNP-C
Telephone Number	:	808-276-7223

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	10/03/2017

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Directions to “HOPENA HEALTH LLC ” Practice Location

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