Organization
HOOMALIE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M BATES NURSE PRACTITIONER (PMHNP)
(808) 281-9342
Entity
Organization
Contact information
Practice address
673 KAAKOLU ST, LAHAINA, HI 96761-1341
(808) 281-9342
(808) 481-0010
Mailing address
PO BOX 1154, MAKAWAO, HI 96768-1154
(808) 281-9342
(808) 481-0010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
04/11/2024
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