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Contact Information

LATONIA D BROADWATER, APRN
459 PATTERSON RD
HONOLULU, HI96819-1522
 Phone: 808-433-7763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LATONIA D BROADWATER · (Female)

NPI # 1659368678
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 10/04/2005
Last updated 02/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN3079
  • HI License # RN60067
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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