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Individual

DIVYA REBECCA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
55 MERCHANT ST STE 2900, HONOLULU, HI 96813-4384
(808) 536-8012
(808) 536-8013
Mailing address
2191 LAUKAHI ST, HONOLULU, HI 96821-2619
(716) 200-9457

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN-3612
HI

Other

Enumeration date
02/21/2019
Last updated
10/25/2023
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