Healthcare Provider Details

I. General information

NPI: 1912007089
Provider Name (Legal Business Name): CHRISTINE E. RISNER C.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41-849 WAIKUPANAHA STREET
WAIMANALO HI
96795-1130
US

IV. Provider business mailing address

41-849 WAIKUPANAHA STREET
WAIMANALO HI
96795-1130
US

V. Phone/Fax

Practice location:
  • Phone: 808-220-1141
  • Fax:
Mailing address:
  • Phone: 808-220-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: