Provider Demographics
NPI:1992468458
Name:GRAMMER, LEE HAYLEY (FNP)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:HAYLEY
Last Name:GRAMMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-1001 MAHEA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-6592
Mailing Address - Country:US
Mailing Address - Phone:808-214-7800
Mailing Address - Fax:
Practice Address - Street 1:95-1001 MAHEA ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-6592
Practice Address - Country:US
Practice Address - Phone:808-214-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235156163W00000X
NCF01220259363L00000X
HIAPRN-3935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner