NPI 1710139415

Phyllis Laraiso, CNM

Practitioner Advanced Practice Midwife Kaunakakai, HI

Practice location

Address: 280 Home Olu Place, Kaunakakai, HI 96748
Phone: (808) 553-3145
Fax: (808) 553-3163
Mailing address: PO Box 408, Kaunakakai, HI 96748-0408

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APRN-140 (HI)

Other Advanced Practice Midwife providers in Hawaii →

Registry record

NPI: 1710139415
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2008
Record last updated: 14 Oct 2008

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.