Individual
DEBORAH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 395-4427
Mailing address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001180924
VA
163W00000X
Registered Nurse
110496-0
HI
363LF0000X
Family Nurse Practitioner
0024185104
VA
363LF0000X
Family Nurse Practitioner
11022009
FL
363LF0000X
Family Nurse Practitioner
Primary
3934
HI
Other
Enumeration date
12/02/2020
Last updated
02/24/2023
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