MEDICARE: CHRISTINE MARIE HIRABAYASHI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	296	HI
2	363LF0000X	Family Nurse Practitioner	296	HI

General Provider Information

NPI Number	:	1972571008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE HIRABAYASHI NP

Provider Business Mailing Address
First Line	:	1505 KALAEPOHAKU PL
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-1828
Country	:	US
Telephone Number	:	808-226-8752
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 KALANIANAOLE HWY
Second Line	:	ISLAND URGENT CARE
City	:	HONOLULU
State	:	HI
Zip	:	96825-1273
Country	:	US
Telephone Number	:	808-735-0007
Fax Number	:	808-433-1558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/23/2015

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