# KUPUNA HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841873957
- **Authorized official:** MARIA DERRYBERRY ANP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (808) 936-1301

## Contact information

- **Practice address:** 65-1158 MAMALAHOA HWY STE 8A, KAMUELA, HI 96743-8442
- **Practice address phone:** (808) 740-5700
- **Practice address fax:** (808) 442-0891
- **Mailing address:** 65-1158 MAMALAHOA HWY STE 8A, KAMUELA, HI 96743-8442
- **Mailing address phone:** (808) 740-5700
- **Mailing address fax:** (808) 442-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/05/2021