Provider Demographics
NPI:1669401295
Name:ONEILL, ADELE (APRN)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:ONEILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ADELE
Other - Middle Name:
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:165 MAA ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3603
Mailing Address - Country:US
Mailing Address - Phone:808-446-7120
Mailing Address - Fax:808-446-7121
Practice Address - Street 1:165 MAA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3603
Practice Address - Country:US
Practice Address - Phone:808-446-7120
Practice Address - Fax:808-446-7121
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN864367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0258574OtherHMSA - 65CP - HMSA QUEST
HI57797601Medicaid
HI112243OtherUHA
HI577976OtherALOHA CARE QUEST
HI112243OtherUHA
HI0258574OtherHMSA - 65CP - HMSA QUEST