Healthcare Provider Details

I. General information

NPI: 1831548411
Provider Name (Legal Business Name): CHRISTINA JOY ROBBINS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 ULUKAHIKI ST SUITE 104
KAILUA HI
96734-4400
US

IV. Provider business mailing address

642 ULUKAHIKI ST SUITE 104
KAILUA HI
96734
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-3233
  • Fax:
Mailing address:
  • Phone: 808-263-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberAMD-660
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: