Provider Demographics
NPI:1083343024
Name:WEST OAHU MENTAL HEALTH
Entity type:Organization
Organization Name:WEST OAHU MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:REINE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,FNP,PMHNP,DNP
Authorized Official - Phone:808-679-2680
Mailing Address - Street 1:91-1001 KAIMALIE ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6247
Mailing Address - Country:US
Mailing Address - Phone:808-679-2680
Mailing Address - Fax:
Practice Address - Street 1:91-1001 KAIMALIE ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6247
Practice Address - Country:US
Practice Address - Phone:808-679-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty