Provider Demographics
NPI:1962562538
Name:DELENSTARR, DAWNA COMEY (NP)
Entity type:Individual
Prefix:MS
First Name:DAWNA
Middle Name:COMEY
Last Name:DELENSTARR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 HAWAIIANA ST
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9363
Mailing Address - Country:US
Mailing Address - Phone:808-821-2480
Mailing Address - Fax:
Practice Address - Street 1:171 HAWAIIANA ST
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9363
Practice Address - Country:US
Practice Address - Phone:808-821-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2326363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR93871Medicare UPIN