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NPI Code Detail

MEDICARE: MRS. KELSIE PASCUAL BORDONADA RN, MSN, AGACNP-BC

MEDICARE: MRS. KELSIE PASCUAL BORDONADA RN, MSN, AGACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered NurseRN-66012HI
2363LA2100XAcute Care Nurse PractitionerAPRN-3967HI

General Provider Information

NPI Number : 1306542055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELSIE PASCUAL BORDONADA RN, MSN, AGACNP-BC
Provider Business Mailing Address
First Line : 91-2071 KAMAKANA ST
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-6416
Country : US
Telephone Number : 808-292-7994
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2402
Country : US
Telephone Number : 808-691-4541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2023
Last Update Date : 04/03/2023

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Directions to “ MRS. KELSIE PASCUAL BORDONADA RN, MSN, AGACNP-BC” Practice Location

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