=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013586254
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROZANNE SCHIRMER RN, MSN, ACCNS-AG
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/22/2021
-----------------------------------------------------
Last Update Date | 10/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 N KUAKINI ST STE 714
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96817-2362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-528-3606
-----------------------------------------------------
Fax | 808-400-3927
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 91-207 HOOLUOLU PL
-----------------------------------------------------
City | EWA BEACH
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96706-5104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-358-5675
-----------------------------------------------------
Fax | 808-400-6927
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WG0000X
-----------------------------------------------------
Taxonomy Name | General Practice Registered Nurse
-----------------------------------------------------
License Number | RN-62-100
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 364SA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | APRN-3195-0
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------