Provider Demographics
NPI:1144454208
Name:HAWAII PUBLIC HEALTH NURSING BRANCH
Entity type:Organization
Organization Name:HAWAII PUBLIC HEALTH NURSING BRANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, PUBLIC HEALTH NURSING BRANCH
Authorized Official - Prefix:MS
Authorized Official - First Name:NOELANI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-586-4618
Mailing Address - Street 1:1250 PUNCHBOWL ST
Mailing Address - Street 2:ROOM 210
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2416
Mailing Address - Country:US
Mailing Address - Phone:808-586-4618
Mailing Address - Fax:808-586-8165
Practice Address - Street 1:1250 PUNCHBOWL ST
Practice Address - Street 2:ROOM 210
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2416
Practice Address - Country:US
Practice Address - Phone:808-586-4618
Practice Address - Fax:808-586-8165
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAWAII DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency