Individual
REBECCA Q. CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN-54
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000219832
HMSA BILLING NUMBER
HI
05
—
53755802
—
HI
Enumeration date
10/02/2006
Last updated
07/09/2007
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