Mona S Brack, R.N., CDE
Individual provider Active NPI Diabetes Educator Registered Nurse · Honolulu, HI
NPI 1720142862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720142862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- RN 34498 (HI)
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (808) 547-4823
- Fax
- (808) 585-5399
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 34498 | HI | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN 34498 | HI | Yes |
Addresses
Primary practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 547-4823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000260828 | Other | HI | HMSA PROVIDER NUMBER |
Other providers in Honolulu, HI
- Aponi Boyer
- John D Boyer
- Rachel C Boyle
- Christopher D Brace
- H. Stefan Bracha
- Heather Brackett
- Brad K Lee DC Inc
- Evan Bradler
- Bradley K Tokeshi MD LLC
- Bradley R Hall MD Inc
All providers in Honolulu, HI · Diabetes Educator Registered Nurse in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.