Provider Demographics
NPI:1962275222
Name:LONEY, NADINA
Entity type:Individual
Prefix:
First Name:NADINA
Middle Name:
Last Name:LONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 MILL ST STE B
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1236
Mailing Address - Country:US
Mailing Address - Phone:808-242-9233
Mailing Address - Fax:808-249-2546
Practice Address - Street 1:1883 MILL ST STE B
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1236
Practice Address - Country:US
Practice Address - Phone:808-242-9233
Practice Address - Fax:808-249-2546
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-47532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry