Individual provider · Type 1 NPI

Derek Nordstrom

Student in an Organized Health Care Education/Training Program · Honolulu, HI

NPI number 1720966989 Active

Practice location

459 Patterson Rd
Honolulu, HI 96819-1522

Call (808) 436-0600 Map

Mailing address

1717 Mott-Smith Dr Apt 1908
Honolulu, HI 96822-2830

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720966989

Derek Nordstrom's National Provider Identifier is 1720966989, issued on Aug 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Honolulu, HI. The record was last updated on Aug 25, 2025.