Provider Demographics
NPI:1124166731
Name:ROMP-FRIESEN, TONI ANNE (APRN)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:ANNE
Last Name:ROMP-FRIESEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:HONAUNAU
Mailing Address - State:HI
Mailing Address - Zip Code:96726-0735
Mailing Address - Country:US
Mailing Address - Phone:808-328-2045
Mailing Address - Fax:
Practice Address - Street 1:75-5995 KUAKINI HWY
Practice Address - Street 2:SUITE 211
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-2144
Practice Address - Country:US
Practice Address - Phone:808-329-2500
Practice Address - Fax:808-334-1808
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 145363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI56968Medicare PIN
HI56966Medicare PIN