NPI 1114706207 · live from the CMS NPI Registry
Andie Kida
Nurse Practitioner, Family in Kailua, HI. National Provider Identifier 1114706207, active.
NPI record
| NPI | 1114706207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 970 N Kalaheo Ave Ste C306, Kailua, HI 96734 |
| Practice phone | 808-263-7383 |
| Enumerated | September 27, 2023 |
| Last updated | October 17, 2024 |
| Sole proprietor | No |
| Other names | Andie Kida |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 86065727 (HI) |
| Registered Nurse | 163W00000X | 99400 (HI) |
| Nurse Practitioner, Family primary | 363LF0000X | APRN-4259-0 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.