Provider Demographics
NPI:1538433560
Name:FURUKAWA, CHRISTY (PNP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:FURUKAWA
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MERCHANT ST
Mailing Address - Street 2:22ND FLOOR
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4306
Mailing Address - Country:US
Mailing Address - Phone:808-535-7717
Mailing Address - Fax:808-535-7722
Practice Address - Street 1:55 MERCHANT ST
Practice Address - Street 2:22ND FLOOR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4306
Practice Address - Country:US
Practice Address - Phone:808-535-7717
Practice Address - Fax:808-535-7722
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI34784-546363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics