Individual
DR. ELIZABETH ANN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, PMHNP-BC
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225989-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-3134
HI
Other
Enumeration date
02/03/2021
Last updated
06/17/2021
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