Individual
REGINA GARRIEVNA CAMPANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
640 ULUKAHIKI ST, KAILUA, HI 96734-4454
(808) 263-5500
Mailing address
2645 STOWELL CIR, HONOLULU, HI 96818-3805
(619) 922-0468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83189
HI
163WL0100X
Lactation Consultant (Registered Nurse)
L-110119
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
TRI-CARE
—
Enumeration date
11/26/2017
Last updated
11/26/2017
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