Provider Demographics
NPI:1730338344
Name:ESTES, ROXANNE C (CNM APRN)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:C
Last Name:ESTES
Suffix:
Gender:F
Credentials:CNM APRN
Other - Prefix:
Other - First Name:ROXANNE
Other - Middle Name:CAROLYN
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13-3553 LUANA ST
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-8417
Mailing Address - Country:US
Mailing Address - Phone:808-935-0211
Mailing Address - Fax:
Practice Address - Street 1:15-2866 PAHOA VILLAGE RD
Practice Address - Street 2:BUILDING F, SUITE 1
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-7720
Practice Address - Country:US
Practice Address - Phone:808-935-0211
Practice Address - Fax:808-965-6500
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1123367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife