VA PACIFIC ISLAND HEALTH CARE SYSTEM NPI 1265822506

NPI Information

VA PACIFIC ISLAND HEALTH CARE SYSTEM is a family nurse practitioner in Tripler Army Medical Center, HI. VA PACIFIC ISLAND HEALTH CARE SYSTEM NPI is 1265822506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Spark M Matsunaga Va Medical Center.

The provider's business location address is:

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI
ZIP 96859-001
Phone: (808) 748-1341

The provider's authorized official is Meihlani Chynna Lee .
The authorized official title is Fnp and has the following contact phone number (808) 748-1341.

The CLIA number assigned to this NPI record is 12D0988206 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 9/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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