Organization
KUPUNA HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DERRYBERRY ANP-BC (NURSE PRACTITIONER)
(808) 936-1301
Entity
Organization
Contact information
Practice address
65-1158 MAMALAHOA HWY STE 8A, KAMUELA, HI 96743-8442
(808) 740-5700
(808) 442-0891
Mailing address
65-1158 MAMALAHOA HWY STE 8A, KAMUELA, HI 96743-8442
(808) 740-5700
(808) 442-0891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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