Provider Demographics
NPI:1477829562
Name:SOUZA, LOKENANI KEALOHA (APRN)
Entity Type:Individual
Prefix:
First Name:LOKENANI
Middle Name:KEALOHA
Last Name:SOUZA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65-1235A OPELO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8401
Mailing Address - Country:US
Mailing Address - Phone:808-885-5392
Mailing Address - Fax:808-885-5392
Practice Address - Street 1:65-1235A OPELO RD STE 1
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8401
Practice Address - Country:US
Practice Address - Phone:808-885-5392
Practice Address - Fax:808-885-5392
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-60246163W00000X
HIAPRN-1447363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse