Provider Demographics
NPI:1982427936
Name:CLEARWATER, ANNE RUTH BILAGOT (RN)
Entity type:Individual
Prefix:
First Name:ANNE RUTH
Middle Name:BILAGOT
Last Name:CLEARWATER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RUTHIE
Other - Middle Name:BILAGOT
Other - Last Name:CLEARWATER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 492568
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-2568
Mailing Address - Country:US
Mailing Address - Phone:808-681-2270
Mailing Address - Fax:
Practice Address - Street 1:310 W KAAHUMANU AVE
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1643
Practice Address - Country:US
Practice Address - Phone:808-681-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI57622163W00000X, 163WC0200X, 163WE0003X, 163WF0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WF0300XNursing Service ProvidersRegistered NurseFlight
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WE0003XNursing Service ProvidersRegistered NurseEmergency