Provider Demographics
NPI:1952974008
Name:ULEP, VIOLETA TANO
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:TANO
Last Name:ULEP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 KAULANA ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1920
Mailing Address - Country:US
Mailing Address - Phone:808-280-7963
Mailing Address - Fax:808-633-4701
Practice Address - Street 1:557 KAULANA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1920
Practice Address - Country:US
Practice Address - Phone:808-280-7963
Practice Address - Fax:808-633-4701
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI0906114869376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide