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 is a Clinical Nurse Specialist 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