Provider Demographics
NPI:1609630102
Name:RANCHES, PETRA CATHERINE (AGNP-C)
Entity Type:Individual
Prefix:
First Name:PETRA
Middle Name:CATHERINE
Last Name:RANCHES
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:PETRA
Other - Middle Name:CATHERINE
Other - Last Name:FINNIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2228 LILIHA ST STE 401
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1654
Mailing Address - Country:US
Mailing Address - Phone:808-547-6500
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST STE 403
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1654
Practice Address - Country:US
Practice Address - Phone:808-436-6453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4427-0363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner