Organization
MCGILL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MCGILL APRN (PRESIDENT)
(808) 743-7473
Entity
Organization
Contact information
Practice address
5418 NAKOA ST, KOLOA, HI 96756
(808) 743-7473
Mailing address
5418 NAKOA ST, PO BOX 1436, KOLOA, HI 96756
(808) 742-9140
(808) 207-3805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010790
KENTUCKY BON
KY
Enumeration date
05/24/2022
Last updated
07/24/2024
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