Individual
DR. JENNIFER KANANIMAULOA GRUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749-8158
(808) 333-3450
(808) 930-4721
Mailing address
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749-8158
(808) 333-3450
(808) 930-4721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-2244
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822628
—
HI
Enumeration date
10/18/2017
Last updated
01/29/2024
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