Doctor Name: | NICOLE READ |
NPI Number: | 1093178402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | APRN 2097 |
Business Practice Address: | 407 Uluniu St Ste 113 Kailua, HI - 967342531 |
Business Phone Number: | 8083803980 |
Business Fax Number: | |
Mailing Address: | 407 Uluniu St Ste 113, KAILUA |
State: | HI |
Postal Code: | 967342531 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/02/2016 |
NPI Last Update Date: | 04/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN 2097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |