Individual
ALEXIS MARIE FODRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 924-9255
Mailing address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 924-9255
(828) 791-8049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3502
HI
363LF0000X
Family Nurse Practitioner
Primary
3502
HI
363LF0000X
Family Nurse Practitioner
95013279
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN-3502
HI
Other
Enumeration date
05/05/2021
Last updated
03/23/2026
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