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Contact Information

JESUS M CRESPO DIAZ, AHCNS, ACNP-BC
480 CENTRAL AVE
PEARL HARBOR, HI96860-4908
 Phone: 808-257-3365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JESUS M CRESPO DIAZ · (Male)

NPI Number 1437557667
Status Active
Credentials AHCNS, ACNP-BC
Entity Individual
Enumeration date 12/22/2014
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9180687
  • PA License # RN580935
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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