Individual
CLARISSA RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
124 APOLLO AVE, HONOLULU, HI 96818-5926
(000) 000-0000
Mailing address
124 APOLLO AVE, HONOLULU, HI 96818-5926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1652933
CO
363LF0000X
Family Nurse Practitioner
Primary
296121
GA
363LF0000X
Family Nurse Practitioner
APN.0993700-NP
CO
Other
Enumeration date
02/06/2018
Last updated
03/06/2025
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