Provider Demographics
NPI:1225104789
Name:ANAE, ANNABEL P (MCD AU)
Entity type:Individual
Prefix:
First Name:ANNABEL
Middle Name:P
Last Name:ANAE
Suffix:
Gender:F
Credentials:MCD AU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 KAIOO DR.
Mailing Address - Street 2:C504
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-5830
Mailing Address - Country:US
Mailing Address - Phone:808-951-4327
Mailing Address - Fax:
Practice Address - Street 1:1800 KAIOO DR.
Practice Address - Street 2:C504
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-5830
Practice Address - Country:US
Practice Address - Phone:808-951-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD-35237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter