Organization
TRANQUIL SHORES MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ERVIN APRN (OWNER)
(808) 400-6315
Entity
Organization
Contact information
Practice address
120 KEAWE ST # 203B, HILO, HI 96720-2874
(808) 400-6315
(808) 480-8344
Mailing address
PO BOX 554, HILO, HI 96721-0554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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