Individual provider · Type 1 NPI
Derrick De Soto
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Honolulu, HI
NPI number
1164808747
Active
Practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | RN74889 (HI) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1164808747
Derrick De Soto's National Provider Identifier is 1164808747, issued on Aug 5, 2015. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Honolulu, HI. The record was last updated on Aug 5, 2015.