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General NPI Number Information
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NPI Number | 1881033439
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Entity Type | Individual
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Provider Name | NICOLE M ERVIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 120 KEAWE ST # 201
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City | HILO
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State | HI
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Zip | 96720-2874
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Country | US
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Telephone | 808-400-6315
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 554
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City | HILO
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State | HI
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Zip | 96721-0554
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Country | US
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Telephone | 541-530-2793
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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 | 202006403NP-PP
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License Number State | OR
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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 | APRN-4661
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201341028RN
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60579125
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN60568890
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201350111NP
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License Number State | OR
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