Individual
NADEZNA LYN P. ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Mailing address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-11379
HI
208000000X
Pediatrics Physician
MD-11379
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000229690
HMSA BILLING NUMBER
HI
05
—
504888-01
—
HI
Enumeration date
11/16/2006
Last updated
10/10/2007
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