Provider Demographics
NPI:1750675088
Name:PAKELE, GRACE MAILE (RN)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:MAILE
Last Name:PAKELE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:GRACE
Other - Middle Name:MAILE
Other - Last Name:ALANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 6655
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-9179
Mailing Address - Country:US
Mailing Address - Phone:808-306-3091
Mailing Address - Fax:
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-0349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 50572163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse