Provider Demographics
NPI:1265589840
Name:KAWAMURA, DEE R (FNP)
Entity type:Individual
Prefix:
First Name:DEE
Middle Name:R
Last Name:KAWAMURA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:R
Other - Last Name:MURAKAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:
Mailing Address - City:TRIPLER ARMY MEDICAL CENTER
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-6933
Mailing Address - Fax:808-433-2187
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-6933
Practice Address - Fax:808-433-2187
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-422363L00000X
HI422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000243980OtherHMSA BILLING NUMBER
HI54796101Medicaid
HIH56082Medicare PIN
HIQ04617Medicare UPIN