Provider Demographics
NPI:1700396991
Name:HOPENA HEALTH LLC
Entity Type:Organization
Organization Name:HOPENA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:808-276-7223
Mailing Address - Street 1:91-1078 PAAPAANA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5632
Mailing Address - Country:US
Mailing Address - Phone:808-276-7223
Mailing Address - Fax:
Practice Address - Street 1:91-1078 PAAPAANA ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-5632
Practice Address - Country:US
Practice Address - Phone:808-276-7223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2209363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty