Provider Demographics
NPI:1326758541
Name:NIUTUPUIVAHA, LUISA
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:
Last Name:NIUTUPUIVAHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56-490 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KAHUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96731-2200
Mailing Address - Country:US
Mailing Address - Phone:808-293-8950
Mailing Address - Fax:
Practice Address - Street 1:56-490 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KAHUKU
Practice Address - State:HI
Practice Address - Zip Code:96731-2200
Practice Address - Country:US
Practice Address - Phone:808-293-8950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician