Pukalani Family Practice, Llc

Specialty details in registry · Makawao, HI

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At a glance

81 Makawao Ave Ste 100, Makawao, HI 96768-8859

NPPES record updated Dec 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

81 Makawao Ave Ste 100
Makawao, HI 96768-8859

Professional details: NPI, taxonomy & registry record

NPI1063009207

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2300X
Enumeration date: Dec 22, 2020
Record updated: Dec 22, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X

Specialty details in registry

261QP2300X · Primary

Family Nurse Practitioner

363LF0000X

Specialty details in registry

363LG0600X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

81 Makawao Ave Ste 100
Makawao, HI 96768-8859

Phone: (808) 573-8900
Fax: (808) 573-7505

Mailing address

81 MAKAWAO AVE STE 100

MAKAWAO, HI 967688859

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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