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NPI Code Detail

MEDICARE: CHRISTIANA HENCH MPH, RDN, LDN

MEDICARE:   CHRISTIANA  HENCH  MPH, RDN, LDN
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
1133N00000XNutritionist14442FL
2133V00000XRegistered Dietitian14442FL
3133VN1301XOncology Nutrition Registered Dietitian14442FL

General Provider Information

NPI Number : 1194663096
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIANA HENCH MPH, RDN, LDN
Provider Business Mailing Address
First Line : 15439 PALMETTO POINT DR
Second Line :
City : LUTZ
State : FL
Zip : 33559-7004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10740 PALM RIVER RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-4573
Country : US
Telephone Number : 813-844-4691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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