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ADVANCED HEALING INC

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

Provider NPI: 1548620958

Organization Information:
Organization Name:  ADVANCED HEALING INC
Organization is Subpart
Authorized Official:  WILLIAM  MATTHEWS  DIRECTOR OR OPERATIONS  302-363-5839

Practice Location:
5816 KOALI ST  KAPAA, HI 96746-9673 US
Tel: 302-363-5839  Fax: 808-320-3430

Business Mailing Address:
5816 KOALI ST  KAPAA, HI 96746-9673 US
Tel: 302-363-5839  Fax: 302-424-7755

NPI Information:
NPI: 1548620958
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
HIAPRN-754

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LF0000X

Type:

Classification:



Definition:



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