NPI 1255893301

Taylor Makana Surprise, PA

Practitioner Physician Assistant Kahului, HI

Practice location

Address: 165 Maa St, Kahului, HI 96732-3603
Phone: (808) 446-7120
Fax: (808) 446-7121

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD-1054 (HI)

Other Physician Assistant providers in Hawaii →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7564 (AZ)

Registry record

NPI: 1255893301
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2019
Record last updated: 15 Jun 2021

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.