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

Individual provider Family Nurse Practitioner · NPI 1316024102

Shanda Brack, APRN is a Nurse Practitioner in Waianae, Hawaii. Qualified in 2016, 10 years ago. Practices with Waianae District Comprehensive Health and Hospital Board Inc, a 161-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
10
Licensed in
HI
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone: (808) 697-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN 2164 (HI)

Record details

NPI number1316024102
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address86-260 Farrington Hwy, Waianae, HI 96792-3128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Waianae District Comprehensive Health And Hospital Board Inc. — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waianae