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General NPI Number Information
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NPI Number | 1417059353
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Entity Type | Individual
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Provider Name | TERESA L CAFFIERO PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 85 MAUI LANI PKWY
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City | WAILUKU
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State | HI
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Zip | 96793-2416
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Country | US
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Telephone | 808-442-5700
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Fax | 855-827-2321
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Provider Business Mailing Address
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Address Line | 85 MAUI LANI PKWY
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City | WAILUKU
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State | HI
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Zip | 96793-2416
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Country | US
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Telephone | 808-442-5700
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Fax | 855-827-2321
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085002229
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License Number State | IL
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