Individual
MRS. COURTNEY DECONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 691-3340
Mailing address
99-1001 MANAKO ST, AIEA, HI 96701-3000
(203) 444-9444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-84811
HI
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-2220
HI
Other
Enumeration date
02/02/2010
Last updated
07/21/2022
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