Individual
VICTORIA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
691 MOPUA ST, HAIKU, HI 96708-5629
(808) 553-9080
(808) 553-3353
Mailing address
130 KAMEHAMEHA V HIGHWAY, KAUNAKAKAI, HI 96748
(808) 553-9080
(808) 553-3353
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2009008937
WA
363LF0000X
Family Nurse Practitioner
Primary
1250
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250
APRN 1250
HI
01
—
361
APRN PRESCRIPTIVE AUTHORITY
HI
01
—
RN00150
DEPARTMENT OF PUBLIC SAFETY, NARCOTIC ENFORCEMENT DIVISION
HI
Enumeration date
04/04/2013
Last updated
02/03/2015
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