Individual
NICOLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
87-157 MANUULAULA ST, WAIANAE, HI 96792-3241
(808) 368-4820
Mailing address
87-157 MANUULAULA ST, WAIANAE, HI 96792-3241
(808) 368-4820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-82879
HI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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