Doctor Name: | AMY J DUERLER |
NPI Number: | 1184606899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | APRN 841 |
Business Practice Address: | 16-192 Pili Mua St Keaau, HI - 967498134 |
Business Phone Number: | 8089300400 |
Business Fax Number: | 8089664028 |
Mailing Address: | 64-1032 Mamalahoa Hwy 306, KAMUELA |
State: | HI |
Postal Code: | 967438441 |
Phone Number: | 8087695010 |
Fax Number: | 8087695208 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN 841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |