Provider Demographics
NPI:1861936379
Name:BECKER, CHRISTINA (RD, MPH, NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:RD, MPH, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N VINEYARD BLVD
Mailing Address - Street 2:STE A325 # 1122
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1832
Mailing Address - Country:US
Mailing Address - Phone:646-400-8723
Mailing Address - Fax:
Practice Address - Street 1:200 N VINEYARD BLVD STE
Practice Address - Street 2:A325 #1122
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1832
Practice Address - Country:US
Practice Address - Phone:646-400-8723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
927679133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered