Provider Demographics
NPI:1235773011
Name:DELA PINA, ROZLYNN KEHAULANI (AG-ACNP/APP/APRN)
Entity Type:Individual
Prefix:
First Name:ROZLYNN
Middle Name:KEHAULANI
Last Name:DELA PINA
Suffix:
Gender:F
Credentials:AG-ACNP/APP/APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 AULIKE ST STE 411
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2757
Mailing Address - Country:US
Mailing Address - Phone:808-452-1379
Mailing Address - Fax:
Practice Address - Street 1:40 AULIKE ST STE 411
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2757
Practice Address - Country:US
Practice Address - Phone:808-452-1379
Practice Address - Fax:808-201-4961
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2653363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty