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Individual

DR. CHADWICK COUNCIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
1255 NUUANU AVE APT E1506, HONOLULU, HI 96817-6027
(808) 783-2925
Mailing address
1255 NUUANU AVE APT E1506, HONOLULU, HI 96817-6027
(808) 783-2925

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-3037
HI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN-3037
HI

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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