Individual
MRS. BRONWEN STEPHANIE PETERNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1135 MAKAWAO AVE STE 202, MAKAWAO, HI 96768-7403
(808) 495-7681
(949) 655-5945
Mailing address
PO BOX 1325, MAKAWAO, HI 96768-1325
(808) 495-7681
(949) 655-5945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21431
CA
363LF0000X
Family Nurse Practitioner
Primary
3455-0
HI
363LF0000X
Family Nurse Practitioner
F337619
NY
Other
Enumeration date
11/29/2012
Last updated
04/06/2023
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