Organization
ADVANCE PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KRACHER PMHNP (NURSE PRACTIONER)
(808) 664-1104
Entity
Organization
Contact information
Practice address
875 WAIMANU ST STE 600, HONOLULU, HI 96813-5267
(808) 664-1104
Mailing address
875 WAIMANU ST STE 600, HONOLULU, HI 96813-5267
(808) 664-1104
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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