Provider Demographics
NPI:1700396124
Name:COELHO, PAUL (APRN-RX)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:COELHO
Suffix:
Gender:M
Credentials:APRN-RX
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:OKADA-COELHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-RX
Mailing Address - Street 1:60 N BERETANIA ST APT 2003
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4759
Mailing Address - Country:US
Mailing Address - Phone:808-582-8881
Mailing Address - Fax:
Practice Address - Street 1:94-229 WAIPAHU DEPOT ST STE 308
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3033
Practice Address - Country:US
Practice Address - Phone:808-582-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2353364S00000X, 364SA2200X, 364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology