Individual provider · NPI-1

Mona S Brack, R.N., CDE

Registered Nurse, Diabetes Educator · Honolulu, HI

NPI number1720142862
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720142862
Entity type
Individual (NPI-1)
Name
Mrs. Mona S Brack
Credential
R.N., CDE
Sex
Female
Sole proprietor
No
Enumeration date
Dec 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorRN 34498HIYes

Practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Phone 808-547-4823 · Fax 808-585-5399

Mailing address

1301 Punchbowl St
Honolulu, HI 96813-2402

Phone 808-547-4823 · Fax 808-585-5399

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