Provider Demographics
NPI:1356853527
Name:WANG, CHRISTINA MARIE BEYERS (DNP, APRN-RX, AGNP-C)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE BEYERS
Last Name:WANG
Suffix:
Gender:F
Credentials:DNP, APRN-RX, AGNP-C
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Mailing Address - Street 1:677 ALA MOANA BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5416
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:677 ALA MOANA BLVD STE 226
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5416
Practice Address - Country:US
Practice Address - Phone:808-521-2437
Practice Address - Fax:808-521-1552
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI2354363LG0600X
HI23454363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology