Individual
BRYSCEN PROTHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-RX, PNP
Contact information
Practice address
91-1089 KAIKO ST, EWA BEACH, HI 96706-6035
(808) 741-8186
Mailing address
91-1089 KAIKO ST, EWA BEACH, HI 96706-6035
(808) 741-8186
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1672
HI
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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