Destiny Noelani KB Knudson Warring, LM, CPM

Individual provider Active NPI Midwife · Hanalei, HI

NPI 1639847643 · NPPES record last updated Sep 3, 2021

Key facts

NPI
1639847643
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
License
MW-15 (HI)
Practice address
5151 Wainiha Powerhouse Rd
Hanalei, HI 96714
Phone
(808) 378-9596
NPI assigned
Sep 3, 2021
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

LicenseStateTypeSpecialty
MW-15HIMDMidwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW-15 HI Yes

Addresses

Primary practice location

5151 Wainiha Powerhouse Rd
Hanalei, HI 96714

Mailing address

PO Box 663
Hanalei, HI 96714-0663
Phone (808) 378-9596

Other providers in Hanalei, HI

All providers in Hanalei, HI · Midwife in Hawaii

Sources for this page

Verify at the official NPI Registry.