Individual
NICOLE M ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
120 KEAWE ST # 201, HILO, HI 96720-2874
(808) 400-6315
Mailing address
PO BOX 554, HILO, HI 96721-0554
(541) 530-2793
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60568890
WA
363L00000X
Nurse Practitioner
201341028RN
OR
363LF0000X
Family Nurse Practitioner
201350111NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202006403NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60579125
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-4661
HI
Other
Enumeration date
06/17/2013
Last updated
04/06/2026
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