Provider Demographics
NPI:1538218854
Name:POON, NANCY A (RD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:POON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:A
Other - Last Name:CHUPAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2237 LILIHA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1657
Mailing Address - Country:US
Mailing Address - Phone:808-595-3332
Mailing Address - Fax:
Practice Address - Street 1:2230 LILIHA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1646
Practice Address - Country:US
Practice Address - Phone:808-547-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered