Individual
COURTNEY GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 LILIHA ST STE 601, HONOLULU, HI 96817-3564
(808) 523-0445
(808) 356-3380
Mailing address
1520 LILIHA ST STE 601, HONOLULU, HI 96817-3564
(808) 523-0445
(808) 356-3380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96725
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15000576
CAQH
HI
Enumeration date
10/04/2020
Last updated
04/11/2024
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