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NPI Code Detail

MEDICARE: MR. J D WAILUA BRANDMAN APRN PMHCNS/NP-BC

MEDICARE: MR. J D WAILUA BRANDMAN APRN PMHCNS/NP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN13HI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2BF505ZOTHERHIMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A0217578OTHERHIHMSA/BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336100049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. J D WAILUA BRANDMAN APRN PMHCNS/NP-BC
Provider Business Mailing Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1406
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-593-7703
Fax Number : 808-593-7703
Provider Business Practice Location Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1406
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-593-7703
Fax Number : 808-593-7703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 04/05/2026

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