Individual
CASSANDRA TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
75-5751 KUAKINI HWY STE 101A, KAILUA KONA, HI 96740-1705
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2797
HI
363LF0000X
Family Nurse Practitioner
95012175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800118
—
HI
Enumeration date
09/23/2019
Last updated
02/25/2021
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