Provider Demographics
NPI:1366980864
Name:CHIN, BRYAN (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:
Last Name:CHIN
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1784
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1935 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1784
Practice Address - Country:US
Practice Address - Phone:808-242-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 2217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily