Healthcare Provider Details

I. General information

NPI: 1053860650
Provider Name (Legal Business Name): LINDSEY ELIZABETH KAUIMALULA GUTH CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2016
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 LAHAINALUNA RD
LAHAINA HI
96761-1329
US

IV. Provider business mailing address

677 ALA MOANA BLVD STE 1001
HONOLULU HI
96813-5408
US

V. Phone/Fax

Practice location:
  • Phone: 808-694-0820
  • Fax:
Mailing address:
  • Phone: 808-469-4900
  • Fax: 808-536-7315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN-1673
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: