Provider Demographics
NPI:1871050583
Name:NEALE, ADRIENNE LEYA (RN)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:LEYA
Last Name:NEALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 801
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-0801
Mailing Address - Country:US
Mailing Address - Phone:808-235-7210
Mailing Address - Fax:
Practice Address - Street 1:45-035 KUHONU PL
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2711
Practice Address - Country:US
Practice Address - Phone:808-235-7210
Practice Address - Fax:808-235-7213
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI66986163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse