Individual
JOHNATHAN ROBERT MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
Mailing address
1603 RUTH PL, HONOLULU, HI 96816-2021
(207) 631-3728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-3746-0
HI
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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