Self, Mary Theresa

Self, Mary Theresa is an individual health care provider with primary practice located at 1651 Mott-Smith Dr Apt D , Honolulu HI 96822-2802. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Self, Mary Theresa can be contacted via phone (808) 202-1534.

Contact Information

Primary practice address
1651 Mott-Smith Dr Apt D Honolulu HI 96822-2802
Phone: (808) 202-1534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 65441 Hawaii

Profile Details

NPI number 1114580826
LBN Legal business name Self, Mary Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Apr 18th, 2019 - about 6 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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