Individual
JANE BALITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
203 HO-OHANA STREET, KAHULUI, HI 96732
(808) 873-3684
Mailing address
203 HOOHANA ST, KAHULUI, HI 96732-2476
(808) 385-0158
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R131899-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5774578-00
—
MN
Enumeration date
07/19/2006
Last updated
04/08/2021
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