Provider Demographics
NPI:1639967136
Name:CRNA GROUP LLC
Entity type:Organization
Organization Name:CRNA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIDERU
Authorized Official - Middle Name:
Authorized Official - Last Name:INOUE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNA APRN-RX
Authorized Official - Phone:808-222-8302
Mailing Address - Street 1:2855 E MANOA RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1854
Mailing Address - Country:US
Mailing Address - Phone:808-222-8302
Mailing Address - Fax:
Practice Address - Street 1:82 PUUHONU PL STE 100
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2010
Practice Address - Country:US
Practice Address - Phone:808-222-8302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRNA GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-25
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty