Mamaclay, Blandina C

Mamaclay, Blandina C is an individual health care provider with primary practice located at 915 N King St , Honolulu HI 96817-4544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mamaclay, Blandina C can be contacted via phone (808) 848-1438.

Contact Information

Primary practice address
915 N King St Honolulu HI 96817-4544
Phone: (808) 848-1438
Fax: (808) 843-7270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN-119 Hawaii

Profile Details

NPI number 1184644668
LBN Legal business name Mamaclay, Blandina C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 15th, 2015 - about 11 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 1184644668 NPPES
Hawaii MEDICAID 0051863101

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