MEDICARE: JERELYN TAGAP PEDRINA-SCHIESSEL MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN- 1651	HI

General Provider Information

NPI Number	:	1356726723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERELYN TAGAP PEDRINA-SCHIESSEL MSN, FNP-BC

Provider Business Mailing Address
First Line	:	570 ULUHALA ST
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-4415
Country	:	US
Telephone Number	:	808-225-7818
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 KALAKAUA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-2351
Country	:	US
Telephone Number	:	808-922-8790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	12/31/2016

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