NPI 1871759050 · live from the CMS NPI Registry
Vickie Marie Fachinelli Portes, RN,C.N.P
Pediatrics in Keaau, HI. National Provider Identifier 1871759050, active.
NPI record
| NPI | 1871759050 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 16-192 Pili Mua St, Keaau, HI 96749 |
| Practice phone | 808-333-3600 |
| Mailing address | 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740 |
| Enumerated | August 6, 2008 |
| Last updated | July 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | R1399752 (MN) |
| Pediatrics primary | 208000000X | APRN-2904 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.