Individual
PAUL NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 ELLIOTT ST, HONOLULU, HI 96819-1817
(808) 838-4200
Mailing address
351 ELLIOTT ST, HONOLULU, HI 96819-1817
(808) 838-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
05026
LA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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