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

Bonny Anne Wallace

Individual provider Community Health Worker · NPI 1043972953

Bonny Anne Wallace is a Community Health Worker in Hilo, Hawaii. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

167 Aipuni St
Hilo, HI 96720-1803
Phone: (808) 959-5855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1043972953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021
Mailing address1786 Kinoole St, Hilo, HI 96720-5245

Other providers in Hilo