Provider Demographics
NPI:1053419457
Name:HAZAMA, CHRISTINA LEE (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEE
Last Name:HAZAMA
Suffix:
Gender:F
Credentials:APRN
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Other - Credentials:
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:TRIPLER OBGYN CLINIC
Mailing Address - City:TRIPLER ARMY MEDICAL CENTER
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-6621
Mailing Address - Fax:808-433-1552
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:TRIPLER OBGYN CLINIC
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-6621
Practice Address - Fax:808-433-1552
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIRN 59205163W00000X
HIAPRN 939363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse