SearchHawaii101YM0800X

Debra Van De Taeye

NPI 1154995538 · on the registry since 2021 · sole proprietor

Practice

Address
4643e Puuwai Rd
Kalaheo, HI 96741
Phone
(720) 236-6418

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-25

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