Jolly Anne Lorenzo Uclaray, | |
221 Mahalani St, Wailuku, HI 96793-2526 | |
(808) 442-5532 | |
Not Available |
Full Name | Jolly Anne Lorenzo Uclaray |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 221 Mahalani St, Wailuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922762574 | NPI | - | NPPES |
08142002 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 842545 (Nevada) | Secondary |
363L00000X | Nurse Practitioner | APRN-3428-0 (Hawaii) | Secondary |
163W00000X | Registered Nurse | 54970 (Hawaii) | Primary |
Entity Name | Maui Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215963970 PECOS PAC ID: 7214823368 Enrollment ID: O20040225000575 |
Mailing Address | Practice Location Address |
---|---|
Jolly Anne Lorenzo Uclaray, 770 Lono Ave, Kahului, HI 96732-2531 Ph: (808) 205-4815 | Jolly Anne Lorenzo Uclaray, 221 Mahalani St, Wailuku, HI 96793-2526 Ph: (808) 442-5532 |
Mr. Seth Kunio Proctor, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Mahalani St, Wailuku, HI 96793 Phone: 808-984-2150 Fax: 808-984-2155 | |
Mrs. Darlene Kay Ferreira, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Mahalani St, Wailuku, HI 96793 Phone: 808-984-2150 Fax: 808-984-2155 | |
Ms. Celeste Marie Baldwin, PHD, APRN, CNS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1830 Wells St, Suite #103, Wailuku, HI 96793 Phone: 808-244-5999 Fax: 808-244-1295 | |
Yolanda Custodio Caprow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3700 Kehalani Mauka Pkwy, Wailuku, HI 96793 Phone: 808-727-3000 | |
Amy Nakama, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1881 Nani Street, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4013 | |
Patricia L Codorniz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Mahalani St, Wailuku, HI 96793 Phone: 808-984-2150 | |
Leah Calpito, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 Kama St, Wailuku, HI 96793 Phone: 808-276-2838 |