Provider Demographics
NPI:1821894056
Name:SIMPSON, LAYA YELENA (NURSE AIDE)
Entity type:Individual
Prefix:
First Name:LAYA
Middle Name:YELENA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S PUUNENE AVE # 442
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2402
Mailing Address - Country:US
Mailing Address - Phone:808-500-1509
Mailing Address - Fax:
Practice Address - Street 1:138 S PUUNENE AVE # 442
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2402
Practice Address - Country:US
Practice Address - Phone:808-500-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI376K00000X376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty