Island Medical Group, Llc

Family Nurse Practitioner · Honolulu, HI

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At a glance

119 Merchant St Ste 102, Honolulu, HI 96813-4434

NPPES record updated Sep 23, 2026. Public records can lag behind changes at a practice.

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Practice location

119 Merchant St Ste 102
Honolulu, HI 96813-4434

Professional details: NPI, taxonomy & registry record

NPI1639082407

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Sep 23, 2026
Record updated: Sep 23, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332900000X

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

119 Merchant St Ste 102
Honolulu, HI 96813-4434

Phone: (808) 431-7333

Mailing address

119 MERCHANT ST STE 102

HONOLULU, HI 968134434

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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