Provider Demographics
NPI:1033574116
Name:OJIRI, MICHELLE MOMOE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MOMOE
Last Name:OJIRI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MOMOE
Other - Last Name:SOGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:633 PONOHAWAI ST STE. 101
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-885-3627
Mailing Address - Fax:808-969-3852
Practice Address - Street 1:633 PONOHAWAI ST
Practice Address - Street 2:STE. 101
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-885-3627
Practice Address - Fax:808-969-3852
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 2025363LP2300X
HIAPRN-2025363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology