Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2075 | HI |
Y | 213EG0000X | General Practice | 2075 | HI |
NPI | 1003843459 |
---|---|
Provider Name | Dr. Christina Nhu Nguyen |
First Address | Honolulu, HI 96814-4401 |
Second Address | Honolulu, HI 96814-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55306706 | (05) | HI |