Organization
HUA MOON WOMEN'S HEALTH LLC
Active
Other names
Home Birth Kauai LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLETTE GERMAINE AGUINALDO (OFFICE MANAGER)
(808) 651-6341
Entity
Organization
Contact information
Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 639-9722
(866) 423-3332
Mailing address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 639-9722
(866) 423-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176B00000X
HI
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
176B00000X
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0051296
HMSA
HI
05
—
64868601
—
HI
01
—
N772727
OHANA CARE MEDICAID
HI
Enumeration date
02/04/2014
Last updated
02/04/2014
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