Individual
DEREK NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 436-0600
Mailing address
1717 MOTT-SMITH DR APT 1908, HONOLULU, HI 96822-2830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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