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DENISE LAVONNE HOUGHTALING MSN,APRN,FNE,SANE-A,

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144578840

Individual Registrant:
 DENISE LAVONNE HOUGHTALING MSN,APRN,FNE,SANE-A,
Gender: F
Sole Proprietor

Location and contact information for practice:
15-1817 LAAMIA AVE 15-1817 14TH ST KEAAU, HI 96749-7116 US
Tel: 808-966-5015  Fax: --

Contact information for business:
15-1817 LAAMIA AVE 15-1817 14TH ST KEAAU, HI 96749 US
Tel: 808-966-5015  Fax: --

Registration Information:
NPI: 1144578840
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
HIAPRN 1079

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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