Basic Information
Provider Information
NPI: 1154516482
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHIH
FirstName: ZOE
MiddleName: L
NamePrefix: MS.
NameSuffix:  
Credential: ARNP, RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 677 ALA MOANA BLVD
Address2: SUITE 1001
City: HONOLULU
State: HI
PostalCode: 968135419
CountryCode: US
TelephoneNumber: 8084694900
FaxNumber:  
Practice Location
Address1: 18-1235 VOLCANO HIGHWAY
Address2:  
City: MOUNTAIN VIEW
State: HI
PostalCode: 96771
CountryCode: US
TelephoneNumber: 8084645148
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/10/2007
LastUpdateDate: 12/16/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN-1623HIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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