Individual provider · Type 1 NPI

Jared Medeiros

Family Nurse Practitioner · Lanai City, HI

NPI number 1043617103 Active

Practice location

478 Lauhala Place
Lanai City, HI 96763

Fax (808) 565-9111

Mailing address

PO Box 630142
Lanai City, HI 96763-0142

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-1845 (HI)

Family Nurse Practitioner: Definition to come...

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About NPI 1043617103

Jared Medeiros's National Provider Identifier is 1043617103, issued on Dec 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lanai City, HI. The record was last updated on Dec 4, 2014.