1376969568 NPI number — PAMELA ANN KAHOKULANI JOAO TRINIES CSFA

Table of content: PAMELA ANN KAHOKULANI JOAO TRINIES CSFA (NPI 1376969568)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376969568 NPI number — PAMELA ANN KAHOKULANI JOAO TRINIES CSFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRINIES
Provider First Name:
PAMELA
Provider Middle Name:
ANN KAHOKULANI JOAO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CSFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HERNANDEZ
Provider Other First Name:
PAMELA
Provider Other Middle Name:
ANN KAHOKULANI JOAO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CSFA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376969568
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47-425 WAIHEE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANEOHE
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96744-4952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-627-5947
Provider Business Mailing Address Fax Number:
808-239-6158

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47-425 WAIHEE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-4952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-627-5947
Provider Business Practice Location Address Fax Number:
808-239-6158
Provider Enumeration Date:
03/11/2014

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: 246ZC0007X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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