Provider Demographics
NPI:1275345233
Name:SOPELSA, SARA SACHIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:SACHIE
Last Name:SOPELSA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:SACHIE
Other - Last Name:KUNISHIGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1296 KAPIOLANI BLVD APT 4006
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2890
Mailing Address - Country:US
Mailing Address - Phone:808-358-2047
Mailing Address - Fax:
Practice Address - Street 1:888 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3097
Practice Address - Country:US
Practice Address - Phone:808-522-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5008363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily