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Contact Information

NICOLE YAZDANPOUR, AGACNP-BC,RNFA, CNOR
99-115 AIEA HEIGHTS DR STE 276
AIEA, HI96701-3967
 Phone: 808-784-3050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for NICOLE YAZDANPOUR · (Female)

NPI # 1417669532
Status Active
Credentials AGACNP-BC,RNFA, CNOR
Entity Individual
Enumeration date 12/20/2022
Last updated 02/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN-3954
  • HI License # RN-71056
  • HI Medicaid 1417669532
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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