Individual
MRS. SIERRA KIMBERLY KNISKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, IBCLC
Contact information
Practice address
205 16TH ST, HONOLULU, HI 96818-4725
(603) 852-7103
Mailing address
205 16TH ST, HONOLULU, HI 96818-4725
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN-112261
HI
363L00000X
Nurse Practitioner
Primary
APRN-4687-0
HI
Other
Enumeration date
05/28/2024
Last updated
10/07/2024
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