| Doctor Name: | DENISE LAVONNE HOUGHTALING |
| NPI Number: | 1144578840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,APRN,FNE,SANE-A, |
| License Number: | APRN 1079 |
| Business Practice Address: | 15-1817 Laamia Ave 15-1817 14th St Keaau, HI - 967497116 |
| Business Phone Number: | 8089665015 |
| Business Fax Number: | |
| Mailing Address: | 15-1817 Laamia Ave, 15-1817 14th St KEAAU |
| State: | HI |
| Postal Code: | 96749 |
| Phone Number: | 8089665015 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2012 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN 1079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |