Doctor Name: | MICHELLE M SOGA |
NPI Number: | 1033574116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | APRN 2025 |
Business Practice Address: | 82 Puuhonu Pl Suite #820 Hilo, HI - 967202010 |
Business Phone Number: | 8089355522 |
Business Fax Number: | 8089615058 |
Mailing Address: | 82 Puuhonu Pl, Suite #820 HILO |
State: | HI |
Postal Code: | 967202010 |
Phone Number: | 8089355522 |
Fax Number: | 8089615058 |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | APRN 2025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |