Doctor Name: | KAREN ANN NORDINE |
NPI Number: | 1154395184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 16767 |
Business Practice Address: | 480 Central Ave Nhlth Clinic Professional Affairs Pearl Harbor, HI - 968604908 |
Business Phone Number: | 9162765456 |
Business Fax Number: | |
Mailing Address: | 480 Central Ave, Nhlth Clinic Professional Affairs PEARL HARBOR |
State: | HI |
Postal Code: | 968604908 |
Phone Number: | 9162765456 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 16767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |