NPI 1003287566

Supernova Emergency Physicians, LLC

Organisation Emergency Medicine Physician Wailuku, HI

Practice location

Address: 221 Mahalani St, Wailuku, HI 96793-2526
Phone: (469) 401-2386
Mailing address: PO Box 98684, Las Vegas, NV 89193-8684

Authorised official

Name: Tenna Behm
Title: Officer
Phone: (469) 401-2386

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Hawaii →

Registry record

NPI: 1003287566
Entity type: Organization
NPI issued: 9 Oct 2015
Record last updated: 9 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.