OrganizationActive
Primary Care Collection
NPI 1871468140 · Gerontology Nurse Practitioner · Kailua, HI
Provider details
- NPI number
- 1871468140
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Meagan Guise, Authorized Official(803) 381-2212
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1353 Kuloaa Pl
Kailua, HI 96734-3655
Phone: (803) 381-2212
Approximate (ZIP-level) locationGet directions
Mailing address
1353 Kuloaa Pl
Kailua, HI 96734-3655
Registry dates
- Enumerated
- 2025-10-07
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.