Rosalie Santos Alcon
Individual provider Active NPI Licensed Vocational Nurse · Kahului, HI
NPI 1104374669 · NPPES record last updated Sep 13, 2016
Key facts
- NPI
- 1104374669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- HI030102592 (HI)
- Practice address
- 161 W Papa Ave
Kahului, HI 96732-2744 - Phone
- (808) 298-7041
- Fax
- (808) 868-4500
- NPI assigned
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HI030102592 | HI | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | HI030102592 | HI | Yes |
Addresses
Primary practice location
161 W Papa Ave
Kahului, HI 96732-2744
Mailing address
161 W Papa Ave
Kahului, HI 96732-2744
Phone (808) 298-7041
Other providers in Kahului, HI
- Akamai Anesthesia LLC
- Tessa K Akau
- Shao-Ling Akoi-Gumanas
- Angelina Alba
- Genetrix Albano
- Dawn Alderson
- Nadine Alexander
- Rebecca J. Alexander
- Nina Alferio
- Ayman Alholail
All providers in Kahului, HI · Licensed Vocational Nurse in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.