Provider Demographics
NPI:1972571008
Name:HIRABAYASHI, CHRISTINE MARIE (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:HIRABAYASHI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 KALAEPOHAKU PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1828
Mailing Address - Country:US
Mailing Address - Phone:808-226-8752
Mailing Address - Fax:
Practice Address - Street 1:6600 KALANIANAOLE HWY
Practice Address - Street 2:ISLAND URGENT CARE
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1273
Practice Address - Country:US
Practice Address - Phone:808-735-0007
Practice Address - Fax:808-433-1558
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI296363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN