Provider Demographics
NPI:1003120734
Name:SANTOS, CLAIRE PIECHOTA (RN)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:PIECHOTA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PROSPECT STREET
Mailing Address - Street 2:504
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-1929
Mailing Address - Country:US
Mailing Address - Phone:808-521-4470
Mailing Address - Fax:808-521-5499
Practice Address - Street 1:670 PROSPECT ST
Practice Address - Street 2:504
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-1936
Practice Address - Country:US
Practice Address - Phone:808-521-4470
Practice Address - Fax:808-521-5499
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 24910163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management