Provider Demographics
NPI:1528952298
Name:CHONG, ELISA (RN)
Entity type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ELISA
Other - Middle Name:
Other - Last Name:BRITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:94-1506 KOLOPU ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1852
Mailing Address - Country:US
Mailing Address - Phone:757-218-9277
Mailing Address - Fax:
Practice Address - Street 1:94-1506 KOLOPU ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1852
Practice Address - Country:US
Practice Address - Phone:757-218-9277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-11736163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health