Provider Demographics
NPI:1235541301
Name:KOFLER, JANETTE (MSN, RN)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:KOFLER
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1558
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-1558
Mailing Address - Country:US
Mailing Address - Phone:808-268-3827
Mailing Address - Fax:
Practice Address - Street 1:14 KAMILA ST
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-7938
Practice Address - Country:US
Practice Address - Phone:808-268-3827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI75396163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse