ORCHID ISLE WELLNESS CENTER LLC NPI 1477226868

NPI Information

NPI: 1477226868
Provider Name: ORCHID ISLE WELLNESS CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 06D2243907

Address:
73-1281 AWAKEA ST
KAILUA KONA, HI
ZIP 96740
Phone: (970) 413-3776
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ORCHID ISLE WELLNESS CENTER LLC is a psychiatric/mental health nurse practitioner in Kailua Kona, HI. ORCHID ISLE WELLNESS CENTER LLC NPI is 1477226868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

73-1281 AWAKEA ST
KAILUA KONA, HI
ZIP 96740-571
Phone: (970) 413-3776
Fax: (833) 536-1752

The provider's authorized official is Ann M Cox .
The authorized official title is Owner and has the following contact phone number (970) 413-3776.

The CLIA number assigned to this NPI record is 06D2243907 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 12/8/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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