Provider Demographics
NPI:1952900565
Name:STRATTON, KAYLA MCKENNA (AG-ACNP, RN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MCKENNA
Last Name:STRATTON
Suffix:
Gender:F
Credentials:AG-ACNP, RN
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:MCKENNA
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3288 MOANALUA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1469
Mailing Address - Country:US
Mailing Address - Phone:808-432-0000
Mailing Address - Fax:
Practice Address - Street 1:3288 MOANALUA RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1469
Practice Address - Country:US
Practice Address - Phone:808-432-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2020014011363LA2100X
HIAPRN-4748363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAPRN-4748OtherHAWAII STATE LICENSE
HIRN-120643OtherHAWAII STATE LICENSE
AZ2020014011OtherAGACNP-BC
AZRN197325OtherRN