| Doctor Name: | MS. CRISTINA ELIZABETH PROKOP |
| NPI Number: | 1508190588 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N. |
| License Number: | 1124 |
| Business Practice Address: | 81 Makawao Ave Ste 100 Makawao, HI - 967688859 |
| Business Phone Number: | 8085738900 |
| Business Fax Number: | 8085723027 |
| Mailing Address: | 81 Makawao Ave Ste 100, MAKAWAO |
| State: | HI |
| Postal Code: | 967688859 |
| Phone Number: | 8085738900 |
| Fax Number: | 8085723027 |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 03/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 1124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |