Basic Information
| Provider Information | |||||||||
| NPI: | 1205937141 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DELLA | ||||||||
| FirstName: | ROSALINA | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1245 KUALA ST STE 103 | ||||||||
| Address2: | |||||||||
| City: | PEARL CITY | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967823900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084562273 | ||||||||
| FaxNumber: | 8084562274 | ||||||||
| Practice Location | |||||||||
| Address1: | 890 KAMOKILA BLVD STE 102 | ||||||||
| Address2: | |||||||||
| City: | KAPOLEI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967072022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8087842273 | ||||||||
| FaxNumber: | 8087842274 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 10/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 368867-1 | NY | N | Nursing Service Providers | Registered Nurse | 163W00000X | 109786 | AZ | N | Nursing Service Providers | Registered Nurse | 163W00000X | 041-334040 | IL | N | Nursing Service Providers | Registered Nurse | 363LF0000X | F332485-1 | NY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | AP1066 | AZ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 041-334040 | IL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | APRN 881 | HI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.