Doctor Name: | MRS. KATIE AKIKO AZAMA |
NPI Number: | 1003246513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 1675 |
Business Practice Address: | 4211 Waialae Ave Honolulu, HI - 968165319 |
Business Phone Number: | 8087320784 |
Business Fax Number: | |
Mailing Address: | 7150 Hawaii Kai Dr Apt 193, HONOLULU |
State: | HI |
Postal Code: | 968253186 |
Phone Number: | 8082563382 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |