Provider Demographics
NPI:1538864699
Name:NEWPHER, RAE LYNNE LAHELA (MSN, NP-C)
Entity type:Individual
Prefix:
First Name:RAE LYNNE
Middle Name:LAHELA
Last Name:NEWPHER
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16-590 OLD VOLCANO RD STE B
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-8158
Mailing Address - Country:US
Mailing Address - Phone:808-430-0794
Mailing Address - Fax:808-930-4721
Practice Address - Street 1:16-590 OLD VOLCANO RD STE B
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749-8158
Practice Address - Country:US
Practice Address - Phone:808-430-0794
Practice Address - Fax:808-930-4721
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI4015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily