Individual
MEGAN STAFFENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1849 HARRIS AVE, KAILUA, HI 96734-9673
(208) 284-7003
Mailing address
1849 HARRIS AVE, KAILUA, HI 96734
(208) 284-7003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-83847
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-2592
HI
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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