| Mindwave Medicine Llc | |
|
100 Kahelu Ave Ste 100 Mililani HI 96789-3913 | |
| (808) 400-5805 | |
| (866) 756-3916 |
| Full Name | Mindwave Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Kahelu Ave Ste 100, Mililani, Hawaii |
| Authorized Official Name and Position | Chelsea Rorer (OWNER) |
| Authorized Official Contact | 8084005805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwave Medicine Llc 100 Kahelu Ave Ste 100 Mililani HI 96789-3913 Ph: (808) 400-5805 | Mindwave Medicine Llc 100 Kahelu Ave Ste 100 Mililani HI 96789-3913 Ph: (808) 400-5805 |
| NPI Number | 1760290787 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/22/2024 |
| Medicare PECOS PAC ID | 4789105040 |
|---|---|
| Medicare Enrollment ID | O20250304001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760290787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chelsea Rorer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356852016 PECOS PAC ID: 5698036408 Enrollment ID: I20250304001255 |
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