Individual
CHRISTINA NANCY BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66-498 KILIOE PL, HALEIWA, HI 96712-1429
(808) 212-9922
Mailing address
66-498 KILIOE PL, HALEIWA, HI 96712-1429
(808) 212-9922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-4970
HI
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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