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Individual

MARK DAVID ROSTASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
235645
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-3542
HI
363LC0200X
Critical Care Medicine Nurse Practitioner
235645
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092349
AZ
Enumeration date
12/17/2019
Last updated
07/27/2022
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