Provider Demographics
NPI:1548906530
Name:ADAMS, DEMETRA ELAINE (DNP)
Entity type:Individual
Prefix:DR
First Name:DEMETRA
Middle Name:ELAINE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:DEMETRA
Other - Middle Name:ELAINE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 1114
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1717
Mailing Address - Country:US
Mailing Address - Phone:808-940-5757
Mailing Address - Fax:808-320-6524
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1114
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1717
Practice Address - Country:US
Practice Address - Phone:808-736-1651
Practice Address - Fax:808-320-6524
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN3536-0363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health