Individual
VICTORIA P NIEDERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-37
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000220137
HMSA BILLING NUMBER
HI
05
—
53782101
—
HI
Enumeration date
01/25/2007
Last updated
10/09/2007
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