Provider Demographics
NPI:1366903924
Name:PIIMANU, LORENE M (NP)
Entity type:Individual
Prefix:MS
First Name:LORENE
Middle Name:M
Last Name:PIIMANU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LORENE
Other - Middle Name:M
Other - Last Name:PIIMANU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:92-941 WELO ST APT 81
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:92-941 WELO ST APT 81
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1413
Practice Address - Country:US
Practice Address - Phone:808-738-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI59833163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI990654Medicaid