Jody Ann Main Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Ewa Beach, HI

NPI

1235360801

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0808X

License number

39439 (HI)

Sex

Female

Sole proprietor

No

Enumerated

2009-07-30

Last updated

2009-07-30