Physician Compare National (NPI:1649802232)

HEALTHCARE PROVIDER: MARY PUANANI KAMAI NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649802232
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284064759
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200423002690
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAMAI
	Individual professional last name
Provider First Name	MARY
	Individual professional first name
Provider Middle Name	PUANANI
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	705 ELM CREEK CIR
	Group Practice or individual's line 1 address
Line 2 Street Address	HOME BASE
	Group Practice or individual's line 2 address
City	MANSFIELD
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760632137
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8176141164
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y