Provider Demographics
NPI:1891964151
Name:PANG, CHELSEA RAY O'BRIEN (APRN-RX)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:RAY O'BRIEN
Last Name:PANG
Suffix:
Gender:F
Credentials:APRN-RX
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:41-1347 KALANIANAOLE HWY
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1247
Mailing Address - Country:US
Mailing Address - Phone:808-954-7115
Mailing Address - Fax:808-259-6449
Practice Address - Street 1:599 FARRINGTON HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2028
Practice Address - Country:US
Practice Address - Phone:808-697-3850
Practice Address - Fax:808-697-3851
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily