Individual
MEGAN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1191 CATALINA DR, HONOLULU, HI 96818-5080
(610) 389-9197
Mailing address
1191 CATALINA DR, HONOLULU, HI 96818-5080
(610) 389-9197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN74755
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN74755
RN
HI
Enumeration date
06/01/2020
Last updated
06/01/2020
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