Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Nutrition RN

Organization Clinical Nurse Specialist · NPI 1639620222

Mind Body Nutrition RN provides Clinical Nurse Specialist services in Kailua Kona, Hawaii. Licensed in Hawaii. Registered with an NPI since 2016.

Licensed in
HI
In the registry since
2016

Practice location Address checks out

75-5995 Kuakini Hwy Ste 445
Kailua Kona, HI 96740-2123
Phone: (808) 315-8466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 2154 (HI)

Record details

NPI number1639620222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Vance-Beaumont — Owner · (415) 867-6457
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 18, 2016
Mailing address75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123