Healthcare Provider Details

I. General information

NPI: 1841296399
Provider Name (Legal Business Name): KATRINA EILEEN HANSEN-SCHMITT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATRINA EILEEN HANSEN FNP-C

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 HOOHANA ST SUITE #303
KAHULUI HI
96732-2476
US

IV. Provider business mailing address

128 KAPELA PL
KAHULUI HI
96732-4523
US

V. Phone/Fax

Practice location:
  • Phone: 808-873-3696
  • Fax:
Mailing address:
  • Phone: 808-871-6201
  • Fax: 808-871-6241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number75049
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75049-3289
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number59573
License Number StateHI
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number947
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: