Provider Demographics
NPI:1497863898
Name:YUEN, NOELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:YUEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-211 PALI MOMI ST STE 414
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4318
Mailing Address - Country:US
Mailing Address - Phone:808-650-9444
Mailing Address - Fax:808-442-8147
Practice Address - Street 1:98-211 PALI MOMI ST STE 414
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4318
Practice Address - Country:US
Practice Address - Phone:808-650-9444
Practice Address - Fax:808-442-8147
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD - 66262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06867201Medicaid
HI990336404OtherHMAA
HIC8916-3OtherHMSA
HI990336404OtherUHA