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General NPI Number Information
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NPI Number | 1831936459
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Entity Type | Individual
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Provider Name | SHYANNE SANTOS DELA VEGA DNP, APRN-RX, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 1-500
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City | HONOLULU
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State | HI
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Zip | 96813-4900
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Country | US
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Telephone | 808-543-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ALA MOANA BLVD STE 1-500
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City | HONOLULU
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State | HI
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Zip | 96813-4900
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Country | US
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Telephone | 808-499-5102
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-4663
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-98266
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License Number State | HI
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