Provider Demographics
NPI:1184327355
Name:CHRISTIE, TRANG NGUYEN (FNP-BC; APRN-RX)
Entity type:Individual
Prefix:
First Name:TRANG
Middle Name:NGUYEN
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:FNP-BC; APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:757-816-5488
Mailing Address - Fax:
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
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3971-0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty