NPI 1013791623 · live from the CMS NPI Registry
Made R Alder
Nurse Practitioner, Family in Kailua, HI. National Provider Identifier 1013791623, active.
NPI record
| NPI | 1013791623 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 642 Ulukahiki St Ste 209, Kailua, HI 96734 |
| Practice phone | 808-230-8500 |
| Enumerated | August 23, 2023 |
| Last updated | November 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | F08230808 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.