Carreon, Mark Anthony

Carreon, Mark Anthony is an individual health care provider with primary practice located at 1520 Liliha St Ste 601 , Honolulu HI 96817-3564. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Carreon, Mark Anthony can be contacted via phone (808) 523-0445.

Contact Information

Primary practice address
1520 Liliha St Ste 601 Honolulu HI 96817-3564
Phone: (808) 523-0445
Fax: (808) 356-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-2030 Hawaii

Profile Details

NPI number 1063757573
LBN Legal business name Carreon, Mark Anthony
Credentials MSN, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Apr 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063757573 NPPES
Nevada Other 14220842 CAQH

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