Provider Demographics
NPI:1720282353
Name:HADLEY, LINDA KAY (APRN FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAY
Last Name:HADLEY
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-519 AWAWA PL
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1051
Mailing Address - Country:US
Mailing Address - Phone:808-672-8314
Mailing Address - Fax:
Practice Address - Street 1:42-477 KALANIANAOLE HWY
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4302
Practice Address - Country:US
Practice Address - Phone:808-266-9525
Practice Address - Fax:808-266-9527
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily