Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | APRN 985 | HI |
NPI | 1538101878 |
---|---|
Provider Name | Ms. Margaret Ann Maupin |
First Address | Kalaheo, HI 96741-9407 |
Second Address | Kalaheo, HI 96741-9407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 11/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q17464 | (02) |