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NPI 1720329923 · live from the CMS NPI Registry

Minuteclinic Diagnostic Of Hawaii, L.L.C.

Nurse Practitioner, Family in Kaneohe, HI. National Provider Identifier 1720329923, active.

NPI record

NPI1720329923 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location45-480 Kaneohe Bay Dr, Kaneohe, HI 96744
Practice phone866-389-2727
Mailing address1 Cvs Dr, Mc 2295, Woonsocket, RI 02895
EnumeratedMarch 13, 2013
Last updatedJune 24, 2024
Authorized officialDeborah Pincince, Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Nurse Practitioner, Family primary363LF0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.