| The Balanced Brain Llc | |
|
7192 Kalanianaole Hwy # E206a Honolulu HI 96825-1800 | |
| (808) 800-8148 | |
| Not Available |
| Full Name | The Balanced Brain Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7192 Kalanianaole Hwy # E206a, Honolulu, Hawaii |
| Authorized Official Name and Position | Courtnee M Nunokawa (MANAGING MEMBER, NURSE PRACTITIONER) |
| Authorized Official Contact | 8088008148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Balanced Brain Llc 7192 Kalanianaole Hwy # E206a Honolulu HI 96825-1800 Ph: (808) 800-8148 | The Balanced Brain Llc 7192 Kalanianaole Hwy # E206a Honolulu HI 96825-1800 Ph: (808) 800-8148 |
| NPI Number | 1447978176 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 1355710336 |
|---|---|
| Medicare Enrollment ID | O20221214000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447978176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Courtnee Nunokawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508268913 PECOS PAC ID: 5698050128 Enrollment ID: I20221214001008 |
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