NPI 1083400733

Isaac Larsen Tade

Practitioner Student in an Organized Health Care Education/Training Program Hilo, HI

Practice location

Address: 450 Kilauea Ave STE 105, Hilo, HI 96720-3089
Phone: (808) 333-3600
Mailing address: 90 Malcolm Ave SE APT 4, Minneapolis, MN 55414-3545

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Hawaii →

Registry record

NPI: 1083400733
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2025
Record last updated: 18 Apr 2025

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.