Provider Demographics
NPI:1568156131
Name:CHEN, SUNNY (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:SUNNY
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N KUKUI ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3921
Mailing Address - Country:US
Mailing Address - Phone:949-302-6920
Mailing Address - Fax:
Practice Address - Street 1:245 N KUKUI ST STE 102A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3921
Practice Address - Country:US
Practice Address - Phone:808-452-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174543163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty