Individual
MRS. TAZIALYNN LEILANI LYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
670 PONAHAWAI ST STE 206, HILO, HI 96720-7830
(808) 333-3420
Mailing address
254 KAUMANA DR, HILO, HI 96720-1941
(808) 464-9795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
84575
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-3022
HI
Other
Enumeration date
08/03/2020
Last updated
04/17/2023
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