Individual
AMANDA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
64-1032 MAMALAHOA HWY STE 306, KAMUELA, HI 96743-8441
(808) 769-5010
Mailing address
64-1032 MAMALAHO HWY STE 306, KAMUELA, HI 96743-8441
(808) 769-5010
(808) 829-3603
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN-81508
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-3578
HI
Other
Enumeration date
03/10/2022
Last updated
03/28/2022
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