Individual
MS. PAULA DIANA/DIANNE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, APRN
Contact information
Practice address
1405 HIAHIA ST, WAILUKU, HI 96793-9738
(724) 556-9760
Mailing address
1405 HIAHIA ST, WAILUKU, HI 96793-9738
(724) 556-9760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-21059
HI
163W00000X
Registered Nurse
RN182340L
PA
363LF0000X
Family Nurse Practitioner
Primary
APRN-1443
HI
363LP2300X
Primary Care Nurse Practitioner
TP000371A
PA
Other
Enumeration date
07/16/2005
Last updated
04/23/2013
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