Provider Demographics
NPI:1033200399
Name:YUEN, CHARLOTTE NAKANISHI (NP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:NAKANISHI
Last Name:YUEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782
Mailing Address - Country:US
Mailing Address - Phone:808-484-5426
Mailing Address - Fax:808-484-0955
Practice Address - Street 1:99-902 MOANALVA ROAD
Practice Address - Street 2:HALAWA CORRECTIONAL FACILITY
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-484-5426
Practice Address - Fax:808-484-6955
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN223363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner