Provider Demographics
NPI:1760017461
Name:CAFFREY, ALISON BEVERLY (PA-C)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BEVERLY
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:BEVERLY
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:725 KAPIOLANI BLVD APT 814
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6001
Mailing Address - Country:US
Mailing Address - Phone:616-498-0320
Mailing Address - Fax:
Practice Address - Street 1:45-181 WAIKALUA RD
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2765
Practice Address - Country:US
Practice Address - Phone:808-247-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD-981363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical