Provider Demographics
NPI:1225418759
Name:ALCOS, MAILE IWALANI (APRN)
Entity Type:Individual
Prefix:
First Name:MAILE
Middle Name:IWALANI
Last Name:ALCOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MAILE
Other - Middle Name:IWALANI
Other - Last Name:WAIWAIOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:277 OHUA AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-6612
Mailing Address - Country:US
Mailing Address - Phone:808-922-4787
Mailing Address - Fax:808-922-4950
Practice Address - Street 1:277 OHUA AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-6612
Practice Address - Country:US
Practice Address - Phone:808-922-4787
Practice Address - Fax:808-922-4950
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily