Basic Information
| Provider Information | |||||||||
| NPI: | 1255769915 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NOLIN | ||||||||
| FirstName: | MEAGAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1245 KUALA ST | ||||||||
| Address2: | STE. 103 | ||||||||
| City: | PEARL CITY | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967823900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084562273 | ||||||||
| FaxNumber: | 8084562274 | ||||||||
| Practice Location | |||||||||
| Address1: | 1245 KUALA ST | ||||||||
| Address2: | STE. 103 | ||||||||
| City: | PEARL CITY | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967823900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084562273 | ||||||||
| FaxNumber: | 8084562274 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2013 | ||||||||
| 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 | 835853 | TX | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 835853 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 2134 | HI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | 2134 | HI | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 163W00000X | 56642 | HI | N | Nursing Service Providers | Registered Nurse |
No ID Information.