Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD5351 | HI |
N | 2080A0000X | Adolescent Medicine | MD5351 | HI |
NPI | 1144311879 |
---|---|
Provider Name | Dr. Wanda G Meurs |
First Address | Hilo, HI 96720 |
Second Address | Hilo, HI 96720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019425-01 | (05) | HI |
B21366 | HMSA (01) | HI |
G37715 | (02) | HI |