Provider Demographics
NPI:1801933148
Name:APANA, CLARE HELEN (MS PT)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:HELEN
Last Name:APANA
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 HALENANI DR
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793
Mailing Address - Country:US
Mailing Address - Phone:808-242-4189
Mailing Address - Fax:866-514-7772
Practice Address - Street 1:260 HALENANI DR
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-242-4189
Practice Address - Fax:866-514-7772
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI458225100000X
HIHI4119225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID8818-4OtherHMSA
HIH51996Medicare UPIN