Provider Demographics
NPI:1700277191
Name:DOMINGCIL, CHELSEA IHOPE (APRN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:IHOPE
Last Name:DOMINGCIL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:IHOPE
Other - Last Name:DINNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:4457 PAHEE ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2032
Mailing Address - Country:US
Mailing Address - Phone:808-245-7277
Mailing Address - Fax:808-245-5006
Practice Address - Street 1:3-3420 KUHIO HWY STE B
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1098
Practice Address - Country:US
Practice Address - Phone:808-245-1504
Practice Address - Fax:808-246-1363
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily