Individual
SUZANNA VALERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N., N.P.
Contact information
Practice address
19-4202 KEKOANUI BLVD., VOLCANO, HI 96785
(808) 896-5661
(808) 985-9221
Mailing address
PO BOX 635, VOLCANO, HI 96785
(808) 896-5661
(808) 985-9221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 25
HI
363LG0600X
Gerontology Nurse Practitioner
APRN 25
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218347
HMSA
—
05
—
52210301
—
HI
Enumeration date
08/04/2005
Last updated
08/12/2010
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