Provider Demographics
NPI:1922337112
Name:DANAO, SUSAN (BSN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:DANAO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-393 LAALOA ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1608
Mailing Address - Country:US
Mailing Address - Phone:808-682-8805
Mailing Address - Fax:808-682-8805
Practice Address - Street 1:92-393 LAALOA ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1608
Practice Address - Country:US
Practice Address - Phone:808-682-8805
Practice Address - Fax:808-682-8805
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11257164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse