MEDICARE: MS. CHRISTINA MARIE DANOVSKY HEALTH COACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1174488795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA MARIE DANOVSKY HEALTH COACH

Provider Business Mailing Address
First Line	:	20100 N 78TH PL APT 2128
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-3809
Country	:	US
Telephone Number	:	949-302-6472
Fax Number	:

Provider Business Practice Location Address
First Line	:	20100 N 78TH PL APT 2128
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-3809
Country	:	US
Telephone Number	:	949-302-6472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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