Individual
SAMUEL MAGNOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
55 KUAU BEACH PL, PAIA, HI 96779-8121
(808) 214-2992
(808) 579-9510
Mailing address
10 PALEKANA ST, PAIA, HI 96779-9634
(206) 550-6529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-5611-0
HI
Other
Enumeration date
06/12/2019
Last updated
12/12/2025
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