Search › Hawaii › 171000000X
Tani Ellis
NPI 1033254032 · on the registry since 2007
Practice
- Address
- 1 Coral Sea St
Medical
Kapolei, HI 96707 - Phone
- (808) 682-2673
- Fax
- (808) 682-2779
- Organisation at this address
- Uscg Air Station Barbers Point
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171000000X
171000000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii