ANGIE CRYSTAL DICOLA
NPI 1508696428
Registered Nurse - Case Management in Jbphh, HI
Active since August 05, 2024
About Angie Crystal Dicola NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGIE CRYSTAL DICOLA (NPI 1508696428) is an individual case management provider in Jbphh, Hawaii, licensed in Hawaii (114863) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1508696428
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameANGIE CRYSTAL DICOLA
Location Address755 SCOTT CIR BLDG 559Jbphh, HI 96853-5399
Mailing Address755 Scott Cir Bldg 559Jbphh, HI 96853-5399
Phone(808) 448-6130
Sole ProprietorNo
Enumeration DateAugust 5, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1508696428 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in HI · 114863
755 SCOTT CIR BLDG 559, Jbphh, HI 96853
Other Names 1
Former Name (1)Angie Crystal Brazell
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508696428, enumerated as an "individual" on August 05, 2024.
The provider is located at 755 SCOTT CIR BLDG 559 JBPHH, HI 96853 and the phone number is (808) 448-6130.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.