Andrade, Dallas R

Andrade, Dallas R is an individual health care provider with primary practice located at 75-184 Hualalai Rd Ste 202 , Kailua Kona HI 96740-1719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Andrade, Dallas R can be contacted via phone (808) 329-8251.

Contact Information

Primary practice address
75-184 Hualalai Rd Ste 202 Kailua Kona HI 96740-1719
Phone: (808) 329-8251
Fax: (808) 334-0130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3269 Hawaii

Profile Details

NPI number 1679247480
LBN Legal business name Andrade, Dallas R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Apr 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679247480 NPPES
Hawaii MEDICAID 001824

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