Individual
CARLY KALEO CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RX
Contact information
Practice address
65-1298B KAWAIHAE RD STE 3, KAMUELA, HI 96743-7342
(808) 731-5003
(808) 731-4330
Mailing address
65-1298B KAWAIHAE RD STE 3, KAMUELA, HI 96743-7342
(808) 731-5003
(808) 731-4330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-2394
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14214954
CAQH
—
01
—
APRN2394
APRN LICENSE
HI
Enumeration date
02/23/2018
Last updated
03/07/2023
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