Individual
RYANNE L V NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
99-902 MOANALUA RD, HALAWA CORRECTIONAL FACILITY, AIEA, HI 96701-3252
(808) 485-5186
Mailing address
99-902 MOANALUA RD, HALAWA CORRECTIONAL FACILITY, AIEA, HI 96701-3252
(808) 485-5186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-571
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0240543
HMSA BILLING NUMBER
HI
05
—
53685706
—
HI
Enumeration date
01/04/2007
Last updated
06/16/2011
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