Provider Demographics
NPI:1942080452
Name:VERULA, JOHN KAROL
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:KAROL
Last Name:VERULA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOHN KAROL
Other - Middle Name:
Other - Last Name:VERULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 S KING ST UNIT 11614
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-2025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1319 PUNAHOU ST STE 950
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1088
Practice Address - Country:US
Practice Address - Phone:808-983-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily