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Mary G Roush, RN CDE

Registered Nurse, Diabetes Educator in Lihue, HI. Individual provider (NPI-1).

NPI number1578752002
StatusActive
Last updated in NPPESOct 22, 2007

Details

NPI
1578752002
Entity type
Individual (NPI-1)
Name
Mrs. Mary G Roush
Credential
RN CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 22, 2007
Last updated
Oct 22, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator26894HIYes

Practice location

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098

Phone 808-246-1629 · Fax 808-246-1381

Mailing address

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098

Phone 808-246-1629 · Fax 808-246-1381

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diabetes Educator Registered Nurse providers in Lihue, HI

All 5 Diabetes Educator Registered Nurse providers in Lihue · All 836 providers in Lihue

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