Individual
MRS. MARISA ANN KIMIKO HAYASHI SHIMOTSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 532-3159
Mailing address
45-446 LOLII ST, KANEOHE, HI 96744-5910
(808) 277-1040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74443
HI
163W00000X
Registered Nurse
757305
CA
363LF0000X
Family Nurse Practitioner
Primary
1659
HI
363LF0000X
Family Nurse Practitioner
23491
CA
Other
Enumeration date
09/23/2013
Last updated
08/17/2015
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