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Individual

ALYSON M KUSATSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-541
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000258285
HMSA BILLING NUMBER
HI
Enumeration date
01/22/2007
Last updated
10/09/2007
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