Organization
OLU WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE LYNNE NEWPHER APRN (OWNER)
(808) 430-0794
Entity
Organization
Contact information
Practice address
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749-8158
(808) 430-0794
(808) 930-4721
Mailing address
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749-8158
(808) 430-0794
(808) 930-4721
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
12/21/2023
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