Provider Demographics
NPI:1114457454
Name:HIGA, LIANNE SADAKO (APRN-CNS)
Entity Type:Individual
Prefix:MRS
First Name:LIANNE
Middle Name:SADAKO
Last Name:HIGA
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:LIANNE
Other - Middle Name:SADAKO
Other - Last Name:TERUYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-CNS
Mailing Address - Street 1:99-1307 AIEA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3019
Mailing Address - Country:US
Mailing Address - Phone:206-819-3946
Mailing Address - Fax:
Practice Address - Street 1:550 S BERETANIA ST STE 601
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2423
Practice Address - Country:US
Practice Address - Phone:808-619-7771
Practice Address - Fax:808-691-7770
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2145364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI2145OtherBOARD OF NURSING