Burrell, C J B

Burrell, C J B is an individual health care provider with primary practice located at 3288 Moanalua Rd , Honolulu HI 96819-1469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Burrell, C J B can be contacted via phone (808) 432-0000.

Contact Information

Primary practice address
3288 Moanalua Rd Honolulu HI 96819-1469
Phone: (808) 432-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN-164 Hawaii

Profile Details

NPI number 1114081650
LBN Legal business name Burrell, C J B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114081650 NPPES
Hawaii Other 0000220095 HMSA BILLING NUMBER
Hawaii MEDICAID 54977701 HMSA BILLING NUMBER

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