Individual
DAN BASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
81 MAKAWAO AVE STE 25, MAKAWAO, HI 96768-8859
(808) 573-8900
(808) 572-3027
Mailing address
81 MAKAWAO AVE STE 25, MAKAWAO, HI 96768-8859
(808) 573-8900
(808) 572-3027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 810
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000255851
HMSA NUMBER
HI
Enumeration date
10/26/2006
Last updated
07/08/2007
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