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Organization

TB2U

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE MCDEVITT (NURSE PRACTITIONER)
(808) 333-4680
Entity
Organization

Contact information

Practice address
45-434 LELEUA LOOP, KANEOHE, HI 96744-2121
(808) 333-4680
Mailing address
45-434 LELEUA LOOP, KANEOHE, HI 96744-2121

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
363LC1500X
Community Health Nurse Practitioner
Primary

Other

Enumeration date
03/03/2026
Last updated
03/17/2026
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