Healthcare Provider Details

I. General information

NPI: 1861936379
Provider Name (Legal Business Name): CHRISTINA BECKER RD, MPH, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2016
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N VINEYARD BLVD STE A325 #1122
HONOLULU HI
96817-1832
US

IV. Provider business mailing address

200 N VINEYARD BLVD STE A325 # 1122
HONOLULU HI
96817-1832
US

V. Phone/Fax

Practice location:
  • Phone: 646-400-8723
  • Fax:
Mailing address:
  • Phone: 646-400-8723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number927679
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: