J D Wailua Brandman in Honolulu - Psychiatric/mental Health

J D Wailua Brandman - NPI 1336100049

J D Wailua Brandman is a Psychiatric/mental Health in Honolulu, Hawaii. J D Wailua Brandman practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for J D Wailua Brandman is 1336100049. The last update date is 2020-01-09.

J D Wailua Brandman's current location address is 615 Piikoi St, Honolulu, Hawaii. You can contact this provider via phone number 8085937703 and fax number 8085937703. The mailing address for J D Wailua Brandman is 615 Piikoi St, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name J D Wailua Brandman
Address 615 Piikoi St, Honolulu, Hawaii
Phone Number 8085937703
Fax Number 8085937703
Sole Proprietor Y
Credentials APRN PMHCN

NPI Number Detail

NPI Number 1336100049
Provider Enumeration Date 2006-03-31
Last Updated Date 2020-01-09

Provider Mailing Address Detail

Address 615 Piikoi St
City Honolulu
State Hawaii (HI)
Post Code 968143116
Phone Number 8085937703
Fax Number 8085937703

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No APRN13
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A0217578 HI HMSA/BCBS
BF505Z HI MEDICARE PTAN
25092001 HI --

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FAQs about J D Wailua Brandman

What is the unique 10-digit identifier code assigned to J D Wailua Brandman by the Centers for Medicare & Medicaid Services?

The J D Wailua Brandman has been issued the NPI (National Provider Identifier) 1336100049 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where J D Wailua Brandman's facilities are geographically located?

The facilities of J D Wailua Brandman are physically situated at the following location: 615 Piikoi St, Honolulu, HI, 968143116.

What is J D Wailua Brandman's area of expertise and its corresponding taxonomy classification?

The J D Wailua Brandman's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 363Lp0808X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1336100049 to J D Wailua Brandman?

The J D Wailua Brandman received its 1336100049 assignment from the Centers for Medicare & Medicaid Services on 2006-03-31.

As of what date was the information regarding J D Wailua Brandman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to J D Wailua Brandman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-09.

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