| Doctor Name: | MS. BOBBIE LEHUANANI ELISALA |
| NPI Number: | 1184729741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-RX |
| License Number: | APRN-411 |
| Business Practice Address: | 86-260 Farrington Hwy Waianae, HI - 967923128 |
| Business Phone Number: | 8086967081 |
| Business Fax Number: | 8086967093 |
| Mailing Address: | 86-260 Farrington Hwy, WAIANAE |
| State: | HI |
| Postal Code: | 967923128 |
| Phone Number: | 8086967081 |
| Fax Number: | 8086967093 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 04/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN-411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |