Individual
DR. IVY L NIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST STE 707, HONOLULU, HI 96813-2443
(808) 545-3538
(808) 545-3532
Mailing address
1380 LUSITANA ST STE 707, HONOLULU, HI 96813-2443
(808) 545-3538
(808) 545-3532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD9652
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000223552
HMSA
HI
05
—
08927501
—
HI
Enumeration date
09/29/2006
Last updated
07/02/2010
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