Individual
NAOMI FUKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RX, CDE
Contact information
Practice address
91-2135 FORT WEAVER RD, SUITE 180, EWA BEACH, HI 96706-3607
(808) 691-3370
Mailing address
91-2135 FORT WEAVER RD, SUITE 180, EWA BEACH, HI 96706-3607
(808) 691-3370
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN-26851
HI
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
APRN-4
HI
Other
Enumeration date
10/01/2014
Last updated
03/23/2016
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