Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA NICOLE LARSON, IDC
ActiveAMANDA NICOLE LARSON, IDC is a Independent Duty Corpsman healthcare provider located in WAHIAWA, Hawaii. NPI 1487955316 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · WAHIAWA, HI
Registration Details
- NPI Number
- 1487955316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2010 (15.720655842538 yrs)
- Last Updated
- Apr 21, 2014
Practice Information
- Address
-
500 CENTER STBUILDING 22WAHIAWA, HI, 967863007Browse HI providers · Browse ZIP 96786
- Phone
- 2287600296
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in WAHIAWA, HI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DUANE SMALTZ | IDC | 1346423324 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.