Provider Demographics
NPI: | 1952174922 |
---|---|
Name: | TRANG N. CHRISTIE FNP-BC, LLC |
Entity Type: | Organization |
Organization Name: | TRANG N. CHRISTIE FNP-BC, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRIMARY PROVIDER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TRANG |
Authorized Official - Middle Name: | N |
Authorized Official - Last Name: | CHRISTIE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | FNP |
Authorized Official - Phone: | 808-518-9119 |
Mailing Address - Street 1: | 1122 LOWELLA AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | PEARL CITY |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96782-3475 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-518-9119 |
Mailing Address - Fax: | 808-518-6007 |
Practice Address - Street 1: | 1329 LUSITANA ST STE 304 |
Practice Address - Street 2: | |
Practice Address - City: | HONOLULU |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96813-2411 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-518-9119 |
Practice Address - Fax: | 808-518-6007 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-11-01 |
Last Update Date: | 2023-11-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Single Specialty |