OrganizationActive
Waimea Primary Care LLC
NPI 1417528399 · Primary Care Nurse Practitioner · Kamuela, HI
Provider details
- NPI number
- 1417528399
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carly Correa, Owner(808) 756-0334
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
65-1298b Kawaihae Rd Ste 3
Kamuela, HI 96743-7342
Phone: (808) 731-5003
Fax: (808) 731-4330
Approximate (ZIP-level) locationGet directions
Mailing address
65-1298b Kawaihae Rd Ste 3
Kamuela, HI 96743-7342
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2025-10-12
- Certified
- 2025-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.