1689862856 NPI number — MS. ANNE KINUYO JINBO CPNP, CWOCN

Table of content: MS. ANNE KINUYO JINBO CPNP, CWOCN (NPI 1689862856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689862856 NPI number — MS. ANNE KINUYO JINBO CPNP, CWOCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JINBO
Provider First Name:
ANNE
Provider Middle Name:
KINUYO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CPNP, CWOCN
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:
1689862856
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 KUWILI ST
Provider Second Line Business Mailing Address:
STE 103
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-5050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-392-5459
Provider Business Mailing Address Fax Number:
808-791-6982

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
420 KUWILI ST
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:
96817-5050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-392-5459
Provider Business Practice Location Address Fax Number:
808-791-6982
Provider Enumeration Date:
10/11/2007

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: 363LP0200X , with the licence number:  APRN 151 , 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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