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Individual

FALLAN L PRYOR ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6100
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0992131
CO
363LF0000X
Family Nurse Practitioner
18858
OH
363LF0000X
Family Nurse Practitioner
833052
NV
363LF0000X
Family Nurse Practitioner
R240367
MD

Other

Enumeration date
01/02/2016
Last updated
08/22/2025
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