Individual
ERIC WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6377
Mailing address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6377
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61188979
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2019
Last updated
09/04/2024
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