Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supernova Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1003287566

Supernova Emergency Physicians, LLC is an Emergency Medicine Physician in Wailuku, Hawaii. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

221 Mahalani St
Wailuku, HI 96793-2526
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1003287566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tenna Behm — Officer · (469) 401-2386
NPI enumeratedOctober 9, 2015
Last updated in NPPESOctober 9, 2015
Mailing addressPo Box 98684, Las Vegas, NV 89193-8684

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