Individual
MRS. ANELLA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
39 W KAMEHAMEHA AVE, KAHULUI, HI 96732-2263
(808) 877-2424
Mailing address
39 W KAMEHAMEHA AVE, KAHULUI, HI 96732-2263
(808) 877-2424
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2031
HI
Other
Enumeration date
12/01/2015
Last updated
01/11/2016
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