1780942722 NPI number — DR. ANNA WALKER PARLIN MD, MPH

Table of content: DR. ANNA WALKER PARLIN MD, MPH (NPI 1780942722)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780942722 NPI number — DR. ANNA WALKER PARLIN MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARLIN
Provider First Name:
ANNA
Provider Middle Name:
WALKER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BERRY
Provider Other First Name:
ANNA
Provider Other Middle Name:
WALKER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MPH
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780942722
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1329 LUSITANA ST STE 502
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96813-2412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-521-8483
Provider Business Mailing Address Fax Number:
808-524-1729

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1329 LUSITANA ST STE 502
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-521-8483
Provider Business Practice Location Address Fax Number:
808-524-1729
Provider Enumeration Date:
04/27/2012

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: 207W00000X , with the licence number:  19579 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207WX0107X , with the licence number: 302038 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207WX0107X , with the licence number: 19579 , 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)