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General NPI Number Information
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NPI Number | 1265944706
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Entity Type | Individual
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Provider Name | ASHLEY RENEA PMHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 95-390 KUAHELANI AVE STE 3AC1078
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City | MILILANI
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State | HI
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Zip | 96789-1192
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Country | US
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Telephone | 808-214-9433
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Fax |
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Provider Business Mailing Address
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Address Line | 91-2141 FORT WEAVER RD
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City | EWA BEACH
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State | HI
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Zip | 96706-1993
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Country | US
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Telephone | 808-691-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 865327
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202108943NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-2481
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License Number State | HI
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