Healthcare Provider Details

I. General information

NPI: 1255609392
Provider Name (Legal Business Name): MARIANNA F KAREWICZ APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2011
Last Update Date: 11/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST STRAUB CLINIC & HOSPITAL - DERMATOLOGY DEPARTMENT
HONOLULU HI
96813-3097
US

IV. Provider business mailing address

888 S KING ST STRAUB CLINIC & HOSPITAL - DERMATOLOGY DEPARTMENT
HONOLULU HI
96813-3097
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4360
  • Fax: 808-522-3361
Mailing address:
  • Phone: 808-522-4360
  • Fax: 808-522-3361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1352
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: