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Individual

KRISTIA LEANNE POLINTAN DIZON FUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-AGPCNP

Contact information

Practice address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 924-8255
(828) 791-8049
Mailing address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 924-8255
(828) 791-8049

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-3124
HI
363LA2100X
Acute Care Nurse Practitioner
3124
HI
363LA2200X
Adult Health Nurse Practitioner
3124
HI
363LG0600X
Gerontology Nurse Practitioner
Primary
3124
HI

Other

Enumeration date
02/09/2021
Last updated
03/23/2026
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