NPI 1518252634

Susanna Dani Electa Dougherty, CPMLMPCES

Practitioner Midwife Hilo, HI

Practice location

Address: 40 Pohakulani St, Hilo, HI 96720-3116
Phone: (808) 990-0394
Fax: (888) 977-3122
Mailing address: PO Box 551794, Kapaau, HI 96755-1794

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MW-9 (HI)

Other Midwife providers in Hawaii →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1518252634
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2011
Record last updated: 22 Nov 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.