Provider Demographics
NPI:1669224598
Name:POIANI, DAWM AP (CLC)
Entity type:Individual
Prefix:
First Name:DAWM
Middle Name:AP
Last Name:POIANI
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:POIANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CLC
Mailing Address - Street 1:2465 KEKUANONI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-1122
Mailing Address - Country:US
Mailing Address - Phone:808-342-6049
Mailing Address - Fax:
Practice Address - Street 1:2465 KEKUANONI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-1122
Practice Address - Country:US
Practice Address - Phone:808-342-6049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14790374J00000X
MA352862174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula