Individual provider · NPI-1

Danielle Dawn Acacio, MD

Family Medicine · Jbphh, HI

NPI number1023643749
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1023643749
Entity type
Individual (NPI-1)
Name
Danielle Dawn Acacio
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2020
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD-22123HIYes
207Q00000X Family MedicineLL3545NV

Practice location

755 Scott Cir
Jbphh, HI 96853-5399

Phone 888-683-2778

Mailing address

755 Scott Cir
Jbphh, HI 96853-5399

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