Individual
PRINCESS BAUTISTA-MONTEREY CANIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
868 ULULANI ST STE 108, HILO, HI 96720-3913
(808) 935-2389
Mailing address
PO BOX 7549, HILO, HI 96720-8946
(808) 935-2389
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN-75756
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-5562
HI
Other
Enumeration date
06/17/2010
Last updated
11/04/2025
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