Individual
DR. GENINE MARIE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MSN, BSN, RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
(808) 474-0918
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
(808) 471-0918
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
44764
HI
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
44764
HI
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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