Healthcare Provider Details

I. General information

NPI: 1063859098
Provider Name (Legal Business Name): TERESA MARIE SCHULZE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA MARIE LAWRENCE APRN

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MAHALANI ST
WAILUKU HI
96793-2526
US

IV. Provider business mailing address

85 MAUI LANI PKWY
WAILUKU HI
96793-2416
US

V. Phone/Fax

Practice location:
  • Phone: 808-244-9056
  • Fax:
Mailing address:
  • Phone: 808-442-5700
  • Fax: 855-827-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14441
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2138
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: