Provider Demographics
NPI:1710613930
Name:SCHOOLCRAFT CAMPOS, KRISTEN MARIE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:SCHOOLCRAFT CAMPOS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4075 BRAMSHAW RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2311
Mailing Address - Country:US
Mailing Address - Phone:808-391-3009
Mailing Address - Fax:
Practice Address - Street 1:928 NUUANU AVE UNIT 1-C
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5190
Practice Address - Country:US
Practice Address - Phone:808-845-5550
Practice Address - Fax:808-481-0584
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2023-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN.457457163WC0400X
OHAPRN.CNP.003151363LP0808X
HIAPRN-3975-0363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management