Individual
MR. JOHN JOSEPH REILLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
94-1101 PENAKII PL, WAIPAHU, HI 96797-4030
(808) 330-9159
Mailing address
94-1101 PENAKII PL, WAIPAHU, HI 96797-4030
(808) 330-9159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5331
HI
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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