IndividualActive
Nancy Modumo, CNA
NPI 1346069010 · Nurse's Aide · Ewa Beach, HI
Provider details
- NPI number
- 1346069010
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- H1020412221 (HI)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
91-1088 Kaunolu St
Ewa Beach, HI 96706-2823
Phone: (808) 232-9202
Fax: (808) 689-4727
Approximate (ZIP-level) locationGet directions
Mailing address
91-1088 Kaunolu St
Ewa Beach, HI 96706-2823
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.