Provider Demographics
NPI:1790251940
Name:RAPOSAS, ANELALANI K M
Entity Type:Individual
Prefix:MRS
First Name:ANELALANI
Middle Name:K M
Last Name:RAPOSAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANELALANI
Other - Middle Name:K M
Other - Last Name:MAMALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:86-226 FARRINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3128
Mailing Address - Country:US
Mailing Address - Phone:808-457-9817
Mailing Address - Fax:808-696-9403
Practice Address - Street 1:85-888 FARRINGTON HWY STE 207
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2403
Practice Address - Country:US
Practice Address - Phone:808-696-9498
Practice Address - Fax:808-696-9403
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
HI172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No251S00000XAgenciesCommunity/Behavioral Health