Provider Demographics
NPI:1770318974
Name:YAMASHIGE, CHELSEA KIMIKO (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KIMIKO
Last Name:YAMASHIGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1827
Mailing Address - Country:US
Mailing Address - Phone:808-501-2214
Mailing Address - Fax:808-229-1227
Practice Address - Street 1:1885 MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1827
Practice Address - Country:US
Practice Address - Phone:808-501-2214
Practice Address - Fax:808-229-1227
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN98606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse