Individual
DR. REBECCA LEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD, PMHNP
Contact information
Practice address
615 PIIKOI ST STE 2002, HONOLULU, HI 96814-3142
(808) 491-5533
(888) 391-1445
Mailing address
615 PIIKOI ST STE 2002, HONOLULU, HI 96814-3142
(808) 491-5533
(888) 391-1445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
089003200N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP4299
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-1816
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105724
—
OR
05
—
735373
—
AZ
Enumeration date
07/20/2007
Last updated
07/21/2022
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