Individual
SAMUEL KEISERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 UNIVERSITY AVE APT 3207, HONOLULU, HI 96826-5007
(516) 734-1036
Mailing address
555 UNIVERSITY AVE APT 3207, HONOLULU, HI 96826-5007
(516) 734-1036
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-5662
HI
363LG0600X
Gerontology Nurse Practitioner
APRN-6552
HI
363LP2300X
Primary Care Nurse Practitioner
APRN-6552
HI
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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