1235364886 NPI number — MS. HANNELORE GERTRUD KRIEGER APRN, FNP

Table of content: MS. HANNELORE GERTRUD KRIEGER APRN, FNP (NPI 1235364886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235364886 NPI number — MS. HANNELORE GERTRUD KRIEGER APRN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRIEGER
Provider First Name:
HANNELORE
Provider Middle Name:
GERTRUD
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KRIEGER
Provider Other First Name:
HANNA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1235364886
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3042 PAPALI ST
Provider Second Line Business Mailing Address:
BLDG A
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-3052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-371-0944
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45-710 KEAAHALA ROAD
Provider Second Line Business Practice Location Address:
HAWAII STATE HOSPITAL
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-3597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-247-2191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN923 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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