Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 8107 | HI |
NPI | 1215048400 |
---|---|
Provider Name | Amy B Harpstrite |
First Address | Kailua, HI 96734-4400 |
Second Address | Kailua, HI 96734-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07731806 | (05) | HI |
G34077 | (02) | HI |