Individual
CARISSA MANREAL BOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
91-1030 HOKUA PL, EWA BEACH, HI 96706-4899
(808) 382-2276
Mailing address
91-1030 HOKUA PL, EWA BEACH, HI 96706-4899
(808) 382-2276
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-4297
HI
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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