Organization
INTEGRATED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDERSEN (OWNER)
(808) 738-7671
Entity
Organization
Contact information
Practice address
98-871 KAONOHI ST UNIT 57D, AIEA, HI 96701-2458
(808) 738-7671
Mailing address
98-871 KAONOHI ST UNIT 57D, AIEA, HI 96701-2458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
05/10/2023
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