Provider Demographics
NPI:1578774097
Name:HOLLINGSWORTH, ANNA K (RN, LMT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1255 NUUANU AVE
Mailing Address - Street 2:APT. 3206
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4017
Mailing Address - Country:US
Mailing Address - Phone:808-349-6056
Mailing Address - Fax:
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 1206
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-349-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4479225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist