Healthcare Provider Details
I. General information
NPI: 1265705032
Provider Name (Legal Business Name): LISA ANGELA STEINMUELLER APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/09/2012
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
75-170 HUALALAI RD STE C110
KAILUA KONA HI
96740-1780
US
IV. Provider business mailing address
1380 LUSITANA ST SUITE 913
HONOLULU HI
96813-2449
US
V. Phone/Fax
- Phone: 808-329-9211
- Fax: 808-329-0009
- Phone: 808-536-7327
- Fax: 808-536-2513
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN-1186 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: