Organization · Type 2 NPI
Island Medical Group, LLC
Family Nurse Practitioner · Honolulu, HI
NPI number
1639082407
Active
Practice location
119 Merchant St Ste 102
Honolulu, HI 96813-4434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1639082407
Island Medical Group, LLC's National Provider Identifier is 1639082407, issued on Sep 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Honolulu, HI. The record was last updated on Sep 23, 2026.