Healthcare Provider Details

I. General information

NPI: 1790766475
Provider Name (Legal Business Name): DEBORAH ANN CURREY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TROOP MEDICAL CLINIC
SHCOFIELD BARRACKS HI
96857
US

IV. Provider business mailing address

95-690 KAULULENA ST
MILILANI HI
96789-2945
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-3300
  • Fax:
Mailing address:
  • Phone: 808-623-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number805
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: