Susan Dale Tannenbaum APRN, BC

NPI 1457543068 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1457543068
Gender Female
Enumeration Date 08/16/2007
Last Updated 08/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2230 LILIHA ST
2MA
HONOLULU HI, 96817-1646, US
Phone (808) 547-6541
Fax (808) 547-6596
Business Location
2230 LILIHA ST
2MA
HONOLULU HI, 96817-1646, US
Phone (808) 547-6541
Fax (808) 547-6596
Toxanomy
Taxonomy Code 363LF0000X
License State Hawaii
License Number APRN1018
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According to our database, Susan Dale Tannenbaum APRN, BC NPI is 1457543068, taxonomy code is 363LF0000X and license number is APRN1018, license state is located at Hawaii. Susan Dale Tannenbaum APRN, BC physically located at 2230 Liliha St, Honolulu HI, 96817-1646. NPI Number Susan Dale Tannenbaum APRN, BC has the Individual type.

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1457543068 NPI number is provided on an as is basis without warranty of any kind. 1457543068 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Dale Tannenbaum APRN, BC are for informational purposes only.