IndividualActive
Mary Self, RN
NPI 1114580826 · Pediatric Registered Nurse · Honolulu, HI
Provider details
- NPI number
- 1114580826
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 65441 (HI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1651 Mott-Smith Dr Apt D
Honolulu, HI 96822-2802
Phone: (808) 202-1534
Approximate (ZIP-level) locationGet directions
Mailing address
1651 Mott-Smith Dr Apt D
Honolulu, HI 96822-2802
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2019-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.