Provider Demographics
NPI:1093379323
Name:COLOMA-PARANADA, CHRISTINE RHEA AGTARAP
Entity Type:Individual
Prefix:
First Name:CHRISTINE RHEA
Middle Name:AGTARAP
Last Name:COLOMA-PARANADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 HOOMALU ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2926
Mailing Address - Country:US
Mailing Address - Phone:808-216-2721
Mailing Address - Fax:
Practice Address - Street 1:515 HOOMALU ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2926
Practice Address - Country:US
Practice Address - Phone:808-216-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI77146163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool