Provider Demographics
NPI:1851305130
Name:LEE, VIRGINIA PARSONS (CNM)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:PARSONS
Last Name:LEE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6251 KEOKEA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1230
Mailing Address - Country:US
Mailing Address - Phone:210-722-7083
Mailing Address - Fax:
Practice Address - Street 1:KO'OLAU WOMEN'S HEALTH CARE, INC
Practice Address - Street 2:642 ULUKAHIKI ST., SUITE 209
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-230-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-402367A00000X
KS64091367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213173201Medicaid
TXTXB105086Medicare PIN