Tiffany Sanders
Individual provider Active NPI Registered Nurse · Holualoa, HI
NPI 1750195475 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1750195475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 98143 (HI)
- Practice address
- 78-1377 Bishop Rd
Holualoa, HI 96725-9754 - Phone
- (808) 322-6712
- NPI assigned
- Feb 4, 2025
- 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 |
|---|---|---|---|
| 95046507 | CA | MD | Registered Nurse |
| 98143 | HI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95046507 | CA | |
| Registered Nurse | 163W00000X | 98143 | HI | Yes |
Addresses
Primary practice location
78-1377 Bishop Rd
Holualoa, HI 96725-9754
Mailing address
PO Box 1156
Kealakekua, HI 96750-1156
Other providers in Holualoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. 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.