Charlotte Ann Ahlheim

Individual provider Active NPI Registered Nurse · Pearl Harbor, HI

NPI 1780174037 · NPPES record last updated May 12, 2018

Key facts

NPI
1780174037
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN255453 (GA)
Practice address
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone
(808) 471-1866
NPI assigned
May 12, 2018
Sex
Female
Sole proprietor
No

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
RN255453GAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN255453 GA Yes

Addresses

Primary practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Mailing address

1564 Tampa Dr
Honolulu, HI 96819-1144

Other providers in Pearl Harbor, HI

All providers in Pearl Harbor, HI · Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.