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Individual

MAGGIE KAMAILE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
928 NUUANU AVE STE 202, HONOLULU, HI 96817-5190
(808) 777-9460
Mailing address
PO BOX 68, HAUULA, HI 96717-0068
(808) 600-4494

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-5270
HI

Other

Enumeration date
06/21/2025
Last updated
06/21/2025
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