Basic Information
| Provider Information | |||||||||
| NPI: | 1245947167 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEAL | ||||||||
| FirstName: | HALEY | ||||||||
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| Credential: | APRN, CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 ALA MOANA BLVD APT 3609 | ||||||||
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| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968134972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605736331 | ||||||||
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| Practice Location | |||||||||
| Address1: | 30 AULIKE ST STE 500 | ||||||||
| Address2: | |||||||||
| City: | KAILUA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967342752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082638822 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2022 | ||||||||
| LastUpdateDate: | 10/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 3848 | HI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.