Provider Demographics
NPI:1841896289
Name:EICHENAUER, CHRISTINA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:EICHENAUER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:SGARLATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4-831 KUBIO HWY
Mailing Address - Street 2:STE 438 #329
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746
Mailing Address - Country:US
Mailing Address - Phone:610-217-3721
Mailing Address - Fax:
Practice Address - Street 1:4139 HARDY ST STE C
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1357
Practice Address - Country:US
Practice Address - Phone:808-212-7820
Practice Address - Fax:808-207-6851
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily