Individual provider · Type 1 NPI

Susie Cabotaje Lidge, LPN

Licensed Practical Nurse · Pearl Harbor, HI

NPI number 1740536028 Active

Practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Call (808) 471-1866 Map

Fax (808) 471-1855

Mailing address

95-308 Hakupokano Loop
Mililani, HI 96789-1304

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X13178 (HI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1740536028

Susie Cabotaje Lidge, LPN's National Provider Identifier is 1740536028, issued on Jul 24, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pearl Harbor, HI. The record was last updated on Jul 24, 2012.