Provider Demographics
NPI:1871278093
Name:CARANGUIAN, COURTNEY-TAYLOR
Entity type:Individual
Prefix:
First Name:COURTNEY-TAYLOR
Middle Name:
Last Name:CARANGUIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N KUKUI ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3921
Mailing Address - Country:US
Mailing Address - Phone:808-737-5805
Mailing Address - Fax:
Practice Address - Street 1:245 N KUKUI ST STE 102A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3921
Practice Address - Country:US
Practice Address - Phone:808-737-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN