Provider Demographics
NPI:1093326530
Name:HASEGAWA, CHLOE B
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:B
Last Name:HASEGAWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:BONNIE
Other - Last Name:YESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 ALA MOANA BLVD STE 6D
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4984
Mailing Address - Country:US
Mailing Address - Phone:808-777-4000
Mailing Address - Fax:808-447-0571
Practice Address - Street 1:500 ALA MOANA BLVD STE 6D
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4984
Practice Address - Country:US
Practice Address - Phone:808-777-4000
Practice Address - Fax:084-470-5718
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily