Individual
DENISE LAVONNE HOUGHTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,APRN,FNE,SANE-A,
Contact information
Practice address
15-1817 LAAMIA AVE, 15-1817 14TH ST, KEAAU, HI 96749-7116
(808) 966-5015
Mailing address
15-1817 LAAMIA AVE, 15-1817 14TH ST, KEAAU, HI 96749
(808) 966-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 1079
HI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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