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

Kimberly Tan Supnet

Individual provider Family Nurse Practitioner · NPI 1417720152

Kimberly Tan Supnet is a Family Nurse Practitioner in Waipahu, Hawaii. Licensed in Hawaii. Registered with an NPI since 2023.

Licensed in
HI
In the registry since
2023

Practice location Address checks out

94-1221 Ka Uka Blvd Unit 108-213
Waipahu, HI 96797-6202
Phone: (808) 277-6809
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-4271 (HI)

Record details

NPI number1417720152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2023
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address94-1221 Ka Uka Blvd Unit 108-213, Waipahu, HI 96797-6202

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