Healthcare Provider Details

I. General information

NPI: 1033716881
Provider Name (Legal Business Name): CHRISTINA OKAZAWA FNP-C, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA LI PMHNP-C, FNP-C

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E TOWN ST STE 210
COLUMBUS OH
43215-4657
US

IV. Provider business mailing address

230 E TOWN ST STE 210
COLUMBUS OH
43215-4657
US

V. Phone/Fax

Practice location:
  • Phone: 614-412-1002
  • Fax: 614-358-9792
Mailing address:
  • Phone: 614-412-1002
  • Fax: 614-358-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF10200327
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN.CNP.0027925
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number368233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: