Provider Demographics
NPI:1861218521
Name:CAMPBELL, MIKI (PMHNP)
Entity type:Individual
Prefix:
First Name:MIKI
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:MIKI
Other - Middle Name:
Other - Last Name:YOKOYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 1114
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4406
Mailing Address - Country:US
Mailing Address - Phone:901-412-2598
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1114
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4406
Practice Address - Country:US
Practice Address - Phone:901-412-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN4934363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health