Individual
STACI SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 ROSE ST, WAHIAWA, HI 96786-2337
(808) 305-3300
Mailing address
68-172 AU ST APT A4, WAIALUA, HI 96791-9440
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
98023
HI
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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