Provider Demographics
NPI:1639154750
Name:ALEXIO, ANITALEI D (APRN)
Entity Type:Individual
Prefix:
First Name:ANITALEI
Middle Name:D
Last Name:ALEXIO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LEI
Other - Middle Name:D
Other - Last Name:ALEXIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:# 118
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5311
Mailing Address - Country:US
Mailing Address - Phone:808-791-7341
Mailing Address - Fax:
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:# 118
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-791-6342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIF0898071363LF0000X
HIAPRN-505363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000234344OtherHMSA
HI556186Medicaid
HI101006Medicare ID - Type Unspecified
HI556186Medicaid