Provider Demographics
NPI:1124387584
Name:NABOURS, ALLISON RENEE (ND)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RENEE
Last Name:NABOURS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 AARONA PL STE 201
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2545
Mailing Address - Country:US
Mailing Address - Phone:808-772-0225
Mailing Address - Fax:808-800-2932
Practice Address - Street 1:2 AARONA PL STE 201
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2545
Practice Address - Country:US
Practice Address - Phone:808-772-0225
Practice Address - Fax:808-800-2932
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60262355175F00000X
HIND-308175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIND-308OtherHAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
WANT60262355OtherWASHINGTON STATE DEPARTMENT OF HEALTH