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Individual

MRS. CLARE BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
550 S BERETANIA ST, HONOLULU, HI 96813-2496
(808) 537-1118
(808) 537-1409
Mailing address
3137 HINANO ST, HONOLULU, HI 96815-4330
(808) 383-2868

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
785
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HI TAX ID
W00391290-01
HI
Enumeration date
01/03/2007
Last updated
07/08/2007
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