Individual
MS. SHAYNE NICOLE OPAL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5520 KA HAKU RD, PRINCEVILLE, HI 96722-5214
(808) 975-6975
Mailing address
4771 PEPELANI LOOP APT 522, PRINCEVILLE, HI 96722-5547
(760) 937-2623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-4975
HI
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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