Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD 9820 | HI |
NPI | 1013952621 |
---|---|
Provider Name | Dr. Ina M Vanhest |
First Address | Kaneohe, HI 96744-4231 |
Second Address | Honolulu, HI 96817-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00268905 | (05) | HI |
D0211724 | SHIELD/HMSA (01) | HI |
E02806 | (02) |