1962505339 NPI number — SARA R SILVERMAN APRN MSN PFNP RY3

Table of content: CHRISTINE NEWELL CPNP (NPI 1235618679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962505339 NPI number — SARA R SILVERMAN APRN MSN PFNP RY3

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
SARA
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN MSN PFNP RY3
Provider Gender Code:
F

Provider's Other Name Information

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

NPI Number Information

NPI Number:
1962505339
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6600 KALANIANAOLE HWY
Provider Second Line Business Mailing Address:
#225
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96825-1281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-394-2800
Provider Business Mailing Address Fax Number:
808-394-2826

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6600 KALANIANAOLE HWY
Provider Second Line Business Practice Location Address:
#225
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-394-2800
Provider Business Practice Location Address Fax Number:
808-394-2826
Provider Enumeration Date:
09/07/2006

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: 364SP0808X , with the licence number:  APRN00069 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364SP0808X , with the licence number: RN44359 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364SP0808X , with the licence number: RX3 , 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)

  • Identifier: 089209 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 246553 . This is a "HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 08920900 . This is a "ALOHA CARE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".