Provider Demographics
NPI:1508130535
Name:ROBERTS, HANA LEI (ND)
Entity Type:Individual
Prefix:DR
First Name:HANA
Middle Name:LEI
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:ND
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 1561
Mailing Address - Street 2:
Mailing Address - City:KAPAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96755-1441
Mailing Address - Country:US
Mailing Address - Phone:808-315-0509
Mailing Address - Fax:866-583-9345
Practice Address - Street 1:65-1235 A OPELO ROAD
Practice Address - Street 2:#5
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743
Practice Address - Country:US
Practice Address - Phone:808-315-0509
Practice Address - Fax:866-583-9345
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI226175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath