Provider Demographics
NPI:1235293523
Name:COHEN, DENISE (APRN-RX)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W KAAHUMANU AVE
Mailing Address - Street 2:UNIVERSITY OF HAWAII MAUI COLLEGE CAMPUS HEALTH CENTER
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1617
Mailing Address - Country:US
Mailing Address - Phone:808-984-3493
Mailing Address - Fax:
Practice Address - Street 1:310 W KAAHUMANU AVE
Practice Address - Street 2:MAUI COMM COLLEGE HLTH CTR
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1617
Practice Address - Country:US
Practice Address - Phone:808-984-3493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN183363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54025Medicare PIN