Individual
SHARDELL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 BISHOP ST UNIT 1918, HONOLULU, HI 96813-6702
(470) 645-4663
Mailing address
6841 LEYTE ST, WAHIAWA, HI 96786-3051
(470) 645-4663
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-21463
HI
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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