Individual
CAROLYN D WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60695730
WA
367A00000X
Advanced Practice Midwife
Primary
APRN-4245
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068705
—
WA
Enumeration date
09/28/2016
Last updated
06/20/2024
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