| Ms Lisa A Kelleher, FNP-BC | |
| 550 S Beretania St, Honolulu, HI 96813-2414 | |
| (808) 538-9011 | |
| Not Available | 
| Full Name | Ms Lisa A Kelleher | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 550 S Beretania St, Honolulu, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932470481 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1423 (Hawaii) | Primary | 
| Entity Name | The Queens Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 | 
| Entity Name | Cory T Miyamoto Md Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538642954 PECOS PAC ID: 6002155736 Enrollment ID: O20190225001705 | 
| Entity Name | Queens University Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Lisa A Kelleher, FNP-BC 550 S Beretania St, Honolulu, HI 96813-2414 Ph: (808) 538-9011 | Ms Lisa A Kelleher, FNP-BC 550 S Beretania St, Honolulu, HI 96813-2414 Ph: (808) 538-9011 | 
| Ms. Chong Son An, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
| Jessica Jung Ackerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Ohua Ave, Honolulu, HI 96815 Phone: 808-922-4787 | |
| Mrs. Katie Akiko Azama, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 Waialae Ave, Honolulu, HI 96816 Phone: 808-732-0784 | |
| Mr. Harold Marion Galara Palma, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Liliha St Ste 601, Honolulu, HI 96817 Phone: 808-523-0445 | |
| May Gresko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 S Beretania St Ste 750, Honolulu, HI 96814 Phone: 808-536-2261 | |
| Jenny Nakano,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4819 Kilauea Ave Ste 7, Honolulu, HI 96816 Phone: 808-808-1324 | |
| Qi Zhi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817 Phone: 808-261-4476 |