Provider Demographics
NPI:1679913081
Name:MUKAI, CECILIA P (PHD, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:P
Last Name:MUKAI
Suffix:
Gender:F
Credentials:PHD, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PUUHONU PL
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2000
Mailing Address - Country:US
Mailing Address - Phone:808-969-3814
Mailing Address - Fax:
Practice Address - Street 1:75 PUUHONU PL
Practice Address - Street 2:SUITE 205
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2000
Practice Address - Country:US
Practice Address - Phone:808-969-3814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-29
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 18317163W00000X
HIAPRN 235363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily