Doctor Name: | MS. NIDHI ANNA CHABORA |
NPI Number: | 1801962337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-RX |
License Number: | APRN-RX 140 |
Business Practice Address: | 45-3380 Mamane St Suite #4 Honokaa, HI - 967276933 |
Business Phone Number: | 8087758835 |
Business Fax Number: | 8087758834 |
Mailing Address: | Po Box 1400, HONOKAA |
State: | HI |
Postal Code: | 967271400 |
Phone Number: | 8087758835 |
Fax Number: | 8087758834 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | APRN-RX 140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |