Basic Information
| Provider Information | |||||||||
| NPI: | 1003142712 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUSSIAN | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | ROMERO | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16-566 KEAAU-PAHOA RD. | ||||||||
| Address2: | SUITE 188 BOX 400 | ||||||||
| City: | KEAAU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 96749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089892855 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 200 W. KAWILI ST | ||||||||
| Address2: | CAMPUS CENTER RM 212 | ||||||||
| City: | HILO | ||||||||
| State: | HI | ||||||||
| PostalCode: | 96720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089327369 | ||||||||
| FaxNumber: | 8089327368 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2009 | ||||||||
| LastUpdateDate: | 08/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 201601217NP-PP | OR | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 1199 | HI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.