Provider Demographics
NPI:1609647478
Name:CHIN, KRISTEN M (APRN-RX, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:CHIN
Suffix:
Gender:F
Credentials:APRN-RX, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 BISHOP ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4100
Mailing Address - Country:US
Mailing Address - Phone:808-532-2010
Mailing Address - Fax:
Practice Address - Street 1:700 BISHOP ST STE 300
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4100
Practice Address - Country:US
Practice Address - Phone:808-532-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4399363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health