Individual
MRS. IVY LOU BAHIAN HIBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
285 W KAAHUMANU AVE STE 205, KAHULUI, HI 96732-1623
(808) 212-8787
Mailing address
26 HOKU PUHIPAKA ST, KAHULUI, HI 96732-4527
(808) 212-8787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 2160
HI
Other
Enumeration date
09/09/2016
Last updated
08/12/2020
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