Individual
ARDI HERMAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
46-056 KAMEHAMEHA HWY STE 221, KANEOHE, HI 96744-6706
(808) 233-6200
Mailing address
46-056 KAMEHAMEHA HWY STE 221, KANEOHE, HI 96744-6706
(808) 233-6200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-3535
HI
Other
Enumeration date
12/17/2018
Last updated
10/25/2024
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