Individual
MR. MARK G SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
16-590 OLD VOLCANO RD STE B, KEAAU, HI 96749-8158
(808) 333-3450
(808) 930-4721
Mailing address
15-2817 PAPAI ST, PAHOA, HI 96778-8548
(808) 769-2373
(808) 930-4721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1157
AK
363LF0000X
Family Nurse Practitioner
60133272
WA
363LF0000X
Family Nurse Practitioner
Primary
APRN-3257
HI
Other
Enumeration date
03/28/2011
Last updated
12/18/2023
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