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NPI Code Detail

MEDICARE: MYRANDA SAYLOR RN

MEDICARE:   MYRANDA  SAYLOR  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse887530MS

General Provider Information

NPI Number : 1952896045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRANDA SAYLOR RN
Provider Business Mailing Address
First Line : 207 17TH ST
Second Line :
City : HONOLULU
State : HI
Zip : 96818-4727
Country : US
Telephone Number : 240-298-1568
Fax Number :
Provider Business Practice Location Address
First Line : 480 CENTRAL AVE BLDG 1750
Second Line :
City : JBPHH
State : HI
Zip : 96860-4908
Country : US
Telephone Number : 808-474-4242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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