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NPI Code Detail

MEDICARE: ALBY MAMAAT

MEDICARE: ALBY MAMAAT
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
1163W00000XRegistered NurseRN-117011HI

General Provider Information

NPI Number : 1790610848
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBY MAMAAT
Provider Business Mailing Address
First Line : 1001 DILLINGHAM BLVD STE 317
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4551
Country : US
Telephone Number : 907-654-5811
Fax Number :
Provider Business Practice Location Address
First Line : 1001 DILLINGHAM BLVD STE 317
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4551
Country : US
Telephone Number : 907-654-5811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ ALBY MAMAAT ” Practice Location

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