Basic Information
Provider Information
NPI: 1366697252
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHINN
FirstName: RAMONA
MiddleName: GREIG
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1374 NUUANU AVE
Address2:  
City: HONOLULU
State: HI
PostalCode: 968174032
CountryCode: US
TelephoneNumber: 8086914401
FaxNumber:  
Practice Location
Address1: 1374 NUUANU AVE
Address2:  
City: HONOLULU
State: HI
PostalCode: 968174032
CountryCode: US
TelephoneNumber: 8086914401
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/19/2008
LastUpdateDate: 03/05/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN 709HIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
364SP0807XAPRN 709HIY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsych/Mental Health, Child & Adolescent

No ID Information.


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