Provider Demographics
NPI:1811884125
Name:KLETZLI, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KLETZLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55-053 NAUPAKA ST
Mailing Address - Street 2:
Mailing Address - City:LAIE
Mailing Address - State:HI
Mailing Address - Zip Code:96762-1128
Mailing Address - Country:US
Mailing Address - Phone:385-515-9545
Mailing Address - Fax:
Practice Address - Street 1:1319 PUNAHOU ST STE 1180
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1089
Practice Address - Country:US
Practice Address - Phone:808-949-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-5196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily