Provider Demographics
NPI:1821971078
Name:OHANAMED VIRTUAL URGENT CARE LLC
Entity type:Organization
Organization Name:OHANAMED VIRTUAL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN HAWAII
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFZGER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:808-468-5779
Mailing Address - Street 1:1003 BISHOP ST STE 2700
Mailing Address - Street 2:PRIVATE MAIL BOX HON 609
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6475
Mailing Address - Country:US
Mailing Address - Phone:808-468-5779
Mailing Address - Fax:
Practice Address - Street 1:1003 BISHOP ST STE 2700
Practice Address - Street 2:#609
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6462
Practice Address - Country:US
Practice Address - Phone:808-468-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty