Individual
GRETCHEN R. NAKAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
893
CO
363A00000X
Physician Assistant
Primary
AMD-906
HI
363AM0700X
Medical Physician Assistant
893
CO
Other
Enumeration date
01/27/2015
Last updated
07/22/2022
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