Provider Demographics
NPI:1205021391
Name:GREEN, HELEN (APRN)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:GREEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 S KING ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2009
Mailing Address - Country:US
Mailing Address - Phone:808-589-1156
Mailing Address - Fax:808-589-1404
Practice Address - Street 1:140 HOOHANA ST
Practice Address - Street 2:SUITE 303
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2400
Practice Address - Country:US
Practice Address - Phone:808-871-1176
Practice Address - Fax:808-871-1131
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIRN 45173163W00000X
HIAPRN 504363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAPRN 504OtherSTATE LICENSE NUMBER