Individual
MS. LAURA ANN WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP/BC
Contact information
Practice address
2-2527 KAUMUALII HWY, KALAHEO, HI 96741-8309
(808) 332-5580
Mailing address
5821 HAUIKI RD, KAPAA, HI 96746-8910
(619) 392-0058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-3149-0
HI
363LA2200X
Adult Health Nurse Practitioner
486376
CA
363LA2200X
Adult Health Nurse Practitioner
APRN-3149-0
HI
Other
Enumeration date
03/14/2006
Last updated
06/04/2021
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