Provider Demographics
NPI:1831971340
Name:CHING, JULIE MARIE (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:CHING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1199 KAIAU AVE APT 1102
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2975
Mailing Address - Country:US
Mailing Address - Phone:407-460-1556
Mailing Address - Fax:
Practice Address - Street 1:91-1199 KAIAU AVE APT 1102
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2975
Practice Address - Country:US
Practice Address - Phone:407-460-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-91123163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant