Individual
MR. J D WAILUA BRANDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHCNS/NP-BC
Contact information
Practice address
615 PIIKOI ST, SUITE 1406, HONOLULU, HI 96814-3116
(808) 593-7703
(808) 593-7703
Mailing address
615 PIIKOI ST, SUITE 1406, HONOLULU, HI 96814-3116
(808) 593-7703
(808) 593-7703
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN13
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0217578
HMSA/BCBS
HI
05
—
25092001
—
HI
01
—
BF505Z
MEDICARE PTAN
HI
Enumeration date
03/31/2006
Last updated
04/05/2026
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