Provider Demographics
NPI:1538117163
Name:MECHAM, CINDY ONITA (APRN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ONITA
Last Name:MECHAM
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 1:79-7266 HAWAII BELT RD #3
Mailing Address - Street 2:
Mailing Address - City:KEALEKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750
Mailing Address - Country:US
Mailing Address - Phone:808-498-4827
Mailing Address - Fax:808-762-1392
Practice Address - Street 1:79-7266 MAMALAHOA HWY STE 3
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-7919
Practice Address - Country:US
Practice Address - Phone:808-498-4827
Practice Address - Fax:808-762-1392
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN550363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health