Provider Demographics
NPI:1457336968
Name:FEAGAI, HOBIE ETTA (APRN)
Entity type:Individual
Prefix:
First Name:HOBIE
Middle Name:ETTA
Last Name:FEAGAI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HOBIE
Other - Middle Name:ETTA
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:758 KAPAHULU AVE
Mailing Address - Street 2:#A-319
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1196
Mailing Address - Country:US
Mailing Address - Phone:808-922-4787
Mailing Address - Fax:808-922-4950
Practice Address - Street 1:277 OHUA AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3643
Practice Address - Country:US
Practice Address - Phone:808-922-4787
Practice Address - Fax:808-922-4950
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI002590322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000230847OtherHMSA
HI50208001Medicaid
HIP10293Medicare UPIN
HIH56674Medicare ID - Type Unspecified