Healthcare Provider Details

I. General information

NPI: 1689949182
Provider Name (Legal Business Name): CHRISTINA MILNE RNC, WHNP, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 HUMUULA ST
KAILUA HI
96734-3706
US

IV. Provider business mailing address

1351 HUMUULA ST
KAILUA HI
96734-3706
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-6208
  • Fax:
Mailing address:
  • Phone: 808-261-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License NumberAPRN-1012
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-29182
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: