Healthcare Provider Details

I. General information

NPI: 1306659917
Provider Name (Legal Business Name): KRISTINA MARIA LANDOLFI NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINA OBERTO

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OFFICE PARK CT STE 103
COLUMBIA SC
29223-5948
US

IV. Provider business mailing address

249 WINDY HOLLOW DR
LEXINGTON SC
29073-6985
US

V. Phone/Fax

Practice location:
  • Phone: 570-956-9695
  • Fax:
Mailing address:
  • Phone: 570-956-9695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: