Individual
KYLIE MARIE UPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
46-1039 EMEPELA WAY APT 15A, KANEOHE, HI 96744-3984
(954) 253-8957
Mailing address
46-1039 EMEPELA WAY APT 15A, KANEOHE, HI 96744-3984
(954) 253-8957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-3893
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN-3893
APRN LICENSE NUMBER
HI
Enumeration date
02/10/2023
Last updated
02/10/2023
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