Individual
MR. ELTON EDWARD JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
400 SAND ISLAND PKWY, USCG, HONOLULU, HI 96819-4326
(808) 842-2930
(808) 832-3281
Mailing address
98-139 KANUKU ST, APT 109, AIEA, HI 96701-5123
(808) 488-1237
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
583059
TX
163WP2201X
Ambulatory Care Registered Nurse
45098
HI
164X00000X
Licensed Vocational Nurse
Primary
69774
TX
363LF0000X
Family Nurse Practitioner
675
HI
Other
Enumeration date
01/06/2006
Last updated
09/11/2025
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